The uterine inversion is a rare and severe puerperal complication that may cause maternel death. Fundal placental insertion, uncontrolled cord traction and uterine expression are the common causes described. The diagnosis is clinical and its management must be immediate to avoid maternal complications. We describe a case of acute puerperal uterine inversion occurred after a vaginal delivery complicated by major postpartum haemorrhage in 24 years old primigravida woman, how referred in our unit for delivery which done in ambulance. She has uterine inversion stage IV caused by the only fundal insertion of placenta. Successful non-invasive management was performed and manual reduce of the uterine inversion with Jonhson’s method was attempts.