Novel use of balloon tamponade saves a patient with uterine inversion in severe shock


  • Sumitra Yadav Department of Obstetrics and Gynecology, MGMMC and MYH, Indore, Madhya Pradesh, India
  • Anjali Malhotra Department of Obstetrics and Gynecology, MGMMC and MYH, Indore, Madhya Pradesh, India



Balloon tamponade, Condom catheter, Intramuscular oxytocin, Uterine inversion


A patient with G1P0 status 38 weeks pregnancy with pain with no high risk delivered at PHC, Hatod, Madhya Pradesh (India). She delivered a male baby by spontaneous vaginal delivery of 3.1 kg. All of sudden after 2nd stage of labour, her 3rd stage of labour was eventful. Placenta did not come out spontaneously so controlled cord traction was given by the ANM over the PHC. She was given intramuscular oxytocin 5 IU. She did the traction with proper care but inspite of that while doing so placenta got separated but there was complete uterine inversion. ANM herself tried to reposit the uterus but could not do so. So ANM immediately referred her from PHC to MYH, Indore, Madhya Pradesh (India). 


Belfort MA, Dildy GA. Postpartum hemorrhage and other problems of the third stage. In: James DK, Steer PJ, Weiner CP, eds. High risk Pregnancy: Management options. 4th edition. Saunders Elsevier; 2011:1283-1312.

Studziński Z, Branicka D. Acute complete uterine inversion: Case report. Ginekol Pol. 2001;72:881-4.

Baskett TF, Calder AA, Arulkumaran S. Acute uterine inversion. In: Green E, eds. Munro Kerr's, operative obstetrics. 11th ed. Amsterdam: Saunders Elsevier; 2007:243-9.

Quinn RJ, Mukerjee B. Spontaneous uterine inversion in association with Marfan's syndrome. Aust N Z J Obstet Gynaecol. 1982;22:163-4.

Wendel PJ, Cox SM. Emergent obstetric management of uterine inversion. Obstet Gynecol Clin North Am. 1995;22:261-74.

Rachagan SP, Sivanesaratnam V, Kok KP, Raman S. Acute puerperal inversion of the uterus. An obstetric emergency. Aust N Z J Obstet Gynaecol. 1988;28:29-32.

Mishra N, Agrawal S, Gulabani K, Shrivastava C. Use of an innovative condom balloon tamponade in postpartum hemorrhage: a report. The Federation of Obstetric and Gynecological Societies of India. 2016;66(1). Available at

Keriakos R, Chaudhuri SR. Managing major postpartum haemorrhage following acute uterine inversion with Rusch balloon catheter case rep. Crit Care. 2011;2011:541479.

Majd HS, Pilsniak A, Reginald PW. Recurrent uterine inversion: a novel treatment approach using SOS Bakri balloon. British J of Obst and Gyn. 2009;116(7):999-1001.

Botolahy ZA, Rakotovao M, Randriambololona DMA, Randriamahavonjy R, Rakotovao A. Hery: uterine inversion: an unusual cause of hemorrhage from deliverance. Rev Trop Chirur. 2008;2:22-3.

Hostetler DR, Bosworth MF. Uterine inversion: a life-threatening obstetric emergency. J Am Board of Family Practice. 2000;13(2):120-3.

Tan KH, Luddin NSY. Hydrostatic reduction of acute uterine inversion. Int J Gyn Obst. 2005;91(1):63-4.

Jerbi M, Iraqui Y, Jacob J, Truc B. Inversion acute puerperal uterine: about two cases. Gyn Obst Fert. 2004;32:224-7.

Irani S, Jordan J. Management of uterine. Cur Obst Gyn. 1997;7:232-5.

Mbuagbaw L, Mbah OP. Complete acute uterine inversion. J Obst Gyn Res. 2011;37(7):897-900.

Rossolymos C, Peittsidis P, Anastasiadis A, Venizelou H. The use of Bakri balloon in management of severe post-partum hemorrhage due to neglected uterine inversion in a HIV positive patiente. Int J Gynecol Obstet. 2012;119S3:531-S867.

Uzoma A, Ola B. Complete uterine inversion managed with a Rusch balloon catheter. J Med Cases. 2010;1(1):8-9.






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