Uterine inversion is a rare though life-threatening complication of childbirth, often accompanied by hemorrhage and hypovolemic shock with associated morbidity. Risks include fundal placenta, placenta accreta spectrum, short umbilical cord, atony, maternal factors such as connective tissue disorders, uterine tumors or structural abnormalities, and congenital weakness of the uterine wall. The diagnosis is clinical, and mainstays of treatment involve prompt recognition and quick action. The focus of treatment is manual reduction, which may require tocolytics. In rare instances when manual reduction is not successful at the bedside, laparotomy may become necessary. Additional care involves uterine massage, uterotonics, and hemorrhage management.