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The uterus should be replaced immediately because:

  • of the risk from shock
  • oedema of the uterus will impede later replacement

Following appropriate anaesthetic procedures, the genital tract is cleansed. The uterus may then be replaced in two ways:

  • manually - the uterus is squeezed and replaced, fundus last
  • fluid pressure - warm saline 0.9% is delivered fast into the vagina from a container and tube

Haemorrhage is prevented by ergometrine (administered after the inversion has been corrected).

If necessary the patient is treated for shock.

This should NOT be considered a manual for treatment of this condition, but as a brief summary of the techniques used. Expert help should be consulted.

Last reviewed 01/2018