In the case of uterine inversion, what initial step should be taken for treatment?

Manual reinsertion of the uterus is the appropriate initial step in treating uterine inversion. Uterine inversion occurs when the uterus turns inside out, typically during the third stage of labor or immediately postpartum. This condition can result from excessive pulling on the umbilical cord or inadequate uterine tone.

The primary goal in managing uterine inversion is to promptly restore the uterus to its normal position. Manual reinsertion is performed by a skilled clinician and requires careful technique to avoid further injury and to stabilize the patient. Once the uterus is repositioned, other supportive measures, such as fluid resuscitation and monitoring for signs of hemorrhage, can be implemented.

While other options may be necessary in specific circumstances (like cesarean for other obstetric complications or hysterectomy for severe cases), they are not the immediate treatment for uterine inversion itself. The focus remains on the immediate correction of the inversion to prevent further complications like severe hemorrhage and shock.