An inverted uterus is a naturally-occurring variation on how the uterus is positioned in the abdominal cavity. Instead of lying on the top of the bladder, the uterus lies to either side of it. There are many causes of inverted uterus, which can be genetic, natural occurring, or due to shift in the positioning of the uterus during a complicated pregnancy. However, there are a few circumstances which can lead to inverted uterus.
One of the causes of inverted uterus can be pulling on the cord with no contraction. If the doctor or the midwife try to deliver the placenta while the uterus is relaxed and the placenta is still connected to it, the uterus can get pulled down and inverted. Pushing on the top of the uterus, when the uterus is relaxed, can also lead to an inverted uterus. Forceful or emphatic pushing on the woman’s belly and on top of the uterus when there’s no contraction is not beneficial for the woman, nor for the uterus.
Another cause of inverted uterus is the partial separation on the placenta. Quite often only a part of the placenta separates and, as the doctor or the midwife tries to deliver the placenta, because the bleeding has started to indicate the placenta is separating, the uterus will be pulled down with the part of the placenta which is still attached, and hence it will get inverted. If during a manual removal of placenta the attached placenta will be pulled down, this will also result in the inversion of the uterus. If the placenta is reluctant to separate and it is retained inside the uterus, the midwife may try to remove it manually, with her own hands. Forcing the placenta down that has not easily separated, can at times bring the top of the uterus down with it.
I know that all these explications are horrifying, but the truth is that, contrary to people’s beliefs, women with inverted uterus can carry pregnancies perfectly fine. Once they conceive, the uterus changes gradually back into its normal position until the baby is born, and then it will become inverted again. There are many causes of inverted uterus, but one thing is sure: women with inverted uterus can definitely have children.