Introduction: Uterine inversion is uncommon but potentially life-threatening obstetric emergency. The incidence is reported to range between 1:2,148 to 1:6,407.  The typical presentation is that of major obstetric haemorrhage and shock, with most patients requiring blood transfusion.

Case Report: Madam SF is a 29 years old Myanmar lady para 4, presented to Emergency Department in shock with hypotensive and tachycardic after two days post home delivery. History discloses a one day mass protruding per vagina after straining to defecate. Examination reveals uterus not palpable per abdomen and total inversion of uterus protruded out of vagina.

The patient was resuscitated, stabilized and taken straight to theatre for an examination under anaesthesia, manual reduction of uterine inversion and proceeded with laparotomy surgical reduction of uterine inversion. Uterine repositioning was then achieved successfully.

Following this, uterus however remained intermittent atonic and major post-partum haemorrhage ensued. A Bakri Balloon was inserted to overcome the persistent uterine atony and was successful in arresting the bleeding. Her total blood loss exceeds 1L in which she required five units of packed cell blood transfusion.

She made a good recovery and was ultimately discharged home on day 5 post operation. 

Conclusion: This case highlights the importance of early recognition and a prompt response by a multidisciplinary team, in the management of uterine inversion. Despite the rarity of this obstetric emergency, it has the potential for significant morbidity and even mortality. Therefore, it is important for clinicians to have a heightened awareness of the condition and how to manage it when it occurs.