Acute uterine inversion is a rare and life-threatening entity. Incidence varies widely from 1:2,000 to 1:23,000 deliveries. It is folding of the fundus into the uterine cavity so that the uterus is turned inside out. Most cases of uterine inversion occur due to mismanagement of third stage of labor. Classical presentation is postpartum hemorrhage and associated profound shock. Correct and early diagnosis coupled with employment of early resuscitation measures together with attempt to replace the uterus either manually or by hydrostatic method is the key to success to their management. We share our experience of such series of cases who presented at our tertiary care center between August 2013 to October 2018.