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