Case Report

Case Report: Haultain’s Method Reposition for Subacute Uterine Inversion

Citra Utami Effendy*, Nicko Pisceski Kusika and Alwin Hutabarat

Published: 22 August, 2023 | Volume 6 - Issue 3 | Pages: 117-119

Background: Uterine inversion is a rare obstetric emergency but potentially life-threatening condition. If these are not immediately diagnosed, the massive and underestimated blood loss can lead to hypovolemic shock. 
Case: Case of 24 years old woman was referred from the district Public Health Center with vaginal bleeding after delivery with abdominal pain. We found fundal height postpartum is 3 fingers above symphysis and confirmed a soft mass protruding inside the vagina at the local examination. The ultrasound cannot present the fundus of the uterus and impressed a uterine inversion. Stabilization for the patient is done with fluid resuscitation and blood transfusion. The patient planned for exploratory laparotomy and we confirmed uterine inversion. We did per abdominal reposition success which was managed by Haultain’s method. 
Conclusion: Uterine inversion should be considered in any patient with symptoms of hemorrhage and abdominopelvic pain, with the physical findings of a soft, congested, bleeding mass within the vagina on bimanual examination. Prompt treatment consists of fluid resuscitation and anatomical repositioning is needed.

Read Full Article HTML DOI: 10.29328/journal.cjog.1001138 Cite this Article Read Full Article PDF


Haultain’s method; Uterine inversion; Postpartum hemorrhage


  1. Utama BI. Chronic Uterine Inversio due to Myoma Geburt. Andalas Obstetrics and Gynecology Journal. 2020; 4(1).
  2. Wahono WT, Putri A, Saroyo YB, Nugroho A, Sally R. A case of third-degree hemorrhagic shock due to total subacute uterine inversion after delivery. Medical Journal of Indonesia. 2021; 30(1).
  3. Garg P, Bansal R. Unusual and delayed presentation of chronic uterine inversion in a young woman as a result of negligence by an untrained birth attendant: a case report. J Med Case Rep. 2020 Sep 8;14(1):143. doi: 10.1186/s13256-020-02466-x. PMID: 32895057; PMCID: PMC7487847.
  4. Silva BR, Meller FO, Uggioni ML, Grande JA, Silva NC. Non-Puerperal Uterine Inversion: A Systematic Review. Gynecologic and Obstetric Investigation.
  5. Ziki E, Madombi S, Chidakwa C, dan Zakazaka N. Reduction of subacute uterine inversion by Haultain’s method: A case report. 2017; 23(3).
  6. Sunjaya AP, Dewi AK. Total Uterine Inversion Post Partum: Case Report and Management Strategies. J Family Reprod Health. 2018 Dec;12(4):223-225. PMID: 31239851; PMCID: PMC6581659.
  7. Baskett TF, Calder AA, Arulkumaran S. Munro Kerrs’s Operative Obstetric. 12th Edition. London: Elsevier; 2007.


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