Fatal acute uterine inversion post-vaginal delivery: an autopsy-based case report

Uterine inversion refers to the condition where the fundus is turned inside and positioned within the uterine cavity. Uterine inversion is a life-threatening and uncommon obstetric emergency that can be fatal because of postpartum hemorrhage and shock. Acute uterine inversion is the most common type, which occurs within 24 h of delivery and is usually associated with untrained birth attendants and a lack of knowledge of labor-inducing drugs. We present a case of alleged medical negligence in the death of a 23-year-old female following vaginal delivery of a second child with autopsy findings suggestive of uterine inversion. The primary cause of death in this patient was postpartum hemorrhage and shock resulting from acute uterine inversion. This case underscores the importance of postmortem examinations in determining responsibility in legal proceedings.