This document discusses uterine inversion, classifying it based on severity from first to fourth degree, and based on time of diagnosis as acute, subacute, or chronic. Causes include spontaneous inversion due to atonic uterus or raised intra-abdominal pressure, or iatrogenic inversion due to mismanaged placental delivery. Symptoms include severe abdominal and pelvic pain, hemorrhage, shock, and postpartum collapse. Signs include hemorrhage, shock, abdominal dimpling, and a soft mass visible outside the vagina or vulva on examination. Treatment involves manual repositioning of the uterus or using O'Sullivan's hydrostatic method with saline. Surgical methods for repositioning include Spin