International Journal of Reproduction, Contraception, Obstetrics and Gynecology Devabhaktuni P et al. Int J Reprod Contracept Obstet Gynecol. 2021 Jul;10(7):2878-2883 www.ijrcog.org pISSN 2320-1770 | eISSN 2320-1789 DOI: https://dx.doi.org/10.18203/2320-1770.ijrcog20212684 Case Report Bombay phenotype Oh blood group: two case reports. Acute puerperal uterine inversion and term pregnancy in labour Pratibha Devabhaktuni*, Malati Ponnuru, Vijaya Reddy Kalattoor, Nirupama Palakodeti Department of Obstetrics and Gynaecology, Modern Government Maternity Hospital, Osmania Medical College, Hyderabad, Telangana, India Received: 06 June 2021 Revised: 20 June 2021 Accepted: 21 June 2021 *Correspondence: Dr. Pratibha Devabhaktuni, E-mail:
[email protected] Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTRACT Mrs. A, 30 years, para 3 with three live children was an unbooked emergency admission on 6 April 2007 with history of severe postpartum haemorrhage (PPH). She was in a state of shock with hypotension, tachycardia, pallor due to anaemia. Examination revealed the uterine inversion, uterus visible as a fleshy red mass protruded outside the vaginal introitus. Puerperal uterine inversion was reduced by vaginal manual reposition under observation through a mini laparotomy incision. She was transfused 4 units of O positive blood. On the second postoperative day she had signs and symptoms of a haemolytic transfusion reaction (HTR). She developed jaundice, haematuria and worsening anaemia. She was later detected to be Bombay Oh phenotype.