Key result
Modified Johnson maneuver and prompt resuscitation successfully treat acute puerperal uterine inversion without surgery.
Case Report (n=1)
No
Early recognition and immediate management of puerperal uterine inversion using resuscitative measures and the modified Johnson method are crucial to reduce maternal morbidity and mortality.
May aid acute inversion management; leaves open need for prospective validation.
Puerperal uterine inversion is a rare and life-threatening obstetric emergency that occurs during the third stage of labor. We report the case of a 27-year-old primigravida who developed an acute third-degree uterine inversion immediately after a vaginal delivery, with partial placental tissue remaining in situ. The patient presented with severe postpartum hemorrhage, hemodynamic shock, and intense pelvic pain. The diagnosis was made clinically, and prompt resuscitative measures (including arrangement of O-negative blood at midnight) followed by uterine reduction via the modified Johnson method were initiated. Early recognition and immediate management are crucial to reduce maternal morbidity and mortality associated with this condition.
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Kaur et al. (2026) conducted a case report in Acute puerperal uterine inversion (n=1). Modified Johnson maneuver and fluid/blood resuscitation was evaluated on Successful uterine repositioning and maternal stabilization. A modified Johnson maneuver and prompt resuscitation successfully treated an acute third-degree puerperal uterine inversion in a 27-year-old woman without requiring surgical intervention.
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