Hydrostatic method for correction of puerperal uterine inversion

Hydrostatic reduction of acute uterine inversion is an option if all other interventions have failed and surgical intervention is not possible. The patient is placed in reversed Trendelenburg lithotomy position. A bag of warmed fluid is hung at least one meter above the patient and allowed to flow by gravity or with light pressure through tubing connected to a silastic ventouse cup in the vagina; the seal between the perimeter of the cup and the vagina prevents significant leakage. The resulting intravaginal hydrostatic pressure may force the inverted fundus back to its normal position. Two to 5 liters of fluid may be needed.