This may be partial or complete. When partial, it may be known by the absence of the fundus or top of the womb behind the pubic bones, and the presence of a large solid tumor in the vagina, accompanied by profuse hemorrhage, intense pain in the pelvis, violent straining, vomiting, fainting, cold clammy sweat, and feeble pulse. Complete inversion is recognized by the presence of a reddish livid tumor filling the vagina, and protruding beyond it. It may occur spontaneously in atony of the womb, or from irregular contractions, or it may be caused by violence in extracting the after-birth, shortness of the cord, delivery in the upright position, tumors, etc.

TREATMENT. -- Watch the tumor carefully, and at the moment when there is no contraction, the fundus should be depressed with one finger, and indented like the bottom of a bottle, and make continued pressure until reposition is sure. Then control the hemorrhage, if any is present, with ice to the pelvis, or vinegar injections, and give stimulants if the patient is exhausted.