Uterine prolapse in a primigravid woman

Kim, Jeong Ok; Jang, Shin A; Lee, Ji Yeon; Yun, Nae Ri; Hwang, Soo Hyun

doi:10.5468/ogs.2016.59.3.241

Cited by 10 publications

(24 citation statements)

References 12 publications

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“…(18) In another study stated that there is a small proportion of uterine prolapse cases occurring in nullipara, a rarity which should be studied further. (19) Although the results of Fisher Exact Test analysis of obesity factors showed that there was a significant difference in the incidence of uterine prolapse rate between obese and non-obese patients. However, there is no evidence that obesity affects the degree of uterine prolapse.…”

Section: Discussionmentioning

confidence: 99%

Age as the Risk Factor that Affected the Increased Degree of Uterine Prolapse

Sayko

Kurniawati²,

Lestari

2018

BHSJ

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Introduction: Uterine prolapse is a gynecological problem that women often experience with a prevalence of 50% and is predicted that the next 30 years will increase by 45% as life expectancy increases. Increased degrees of uterine prolapse have an impact on the deterioration of women's quality of life. The uterine prolapse is influenced by several mutually supportive factors. The purpose of this study was to analyze the relationship between these factors to the degree of uterine prolapse.Methods: This research is an observational analytic research with cross sectional approach. The number of samples were 65 patients with uterine prolapse at Policlinic Gynecology RSUD Dr. Soetomo Surabaya from 2015-2017. Sampling was done by consecutive sampling. To find out the significant level, the collected data will be tested with Fisher Exact Test statistic at significance level α = 0,05.Results: The result showed that there was significant difference between degree of uterine prolapse with age factor (p = 0,016) and obesity (p = 0,041). As for the parity factor (p = 0.508) there was no significant difference between the parity factor and the degree of uterine prolapse.Discussion: Age is a major factor affecting the degree of uterine prolapse, weakening of pelvic floor tissue and muscle in elderly women is the main cause. While on the obesity factor, there is no data to support that obesity is related to the degree of uterine prolapse because the trend indicates that the majority of patients are not obese. In contrast the parity factor, although according to the statistical test there is no difference to the degree of uterine prolapse, the trend shows that parity leads to increased incidence of uterine prolapse itself.Conclusion: Age is a factor that affects the degree of uterine prolapse.

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Section: Discussionmentioning

confidence: 99%

Age as the Risk Factor that Affected the Increased Degree of Uterine Prolapse

Sayko

Kurniawati²,

Lestari

2018

BHSJ

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“…According to a case review of pregnancies with uterine prolapse reported by Kana et al [ 7 ], since 1997, vaginal delivery could be performed in only 2 of 16 patients with cervical edema, and none of them was diagnosed with complete uterine prolapse. Jeong et al [ 8 ] reported that, since 2002, only 1 of 14 patients with uterine prolapse was able to be delivered vaginally. These results suggest that this study reports a valuable case of vaginal delivery.…”

Section: Discussionmentioning

confidence: 99%

A case report of successful vaginal delivery in a patient with severe uterine prolapse and a review of the healing process of a cervical incision

Maki

Mitoma

Mishima

et al. 2022

Case Reports in Women's Health

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Background The incidence of severe uterine prolapse during childbirth is approximately 0.01%. Moreover, to the best of our knowledge, no reports detail the healing process of the cervix during uterine involution. This report describes successful vaginal delivery and the healing process of postpartum uterine prolapse and cervical tears in a patient with severe uterine prolapse. Case presentation A patient in her 40s (gravida 3, para 1, abortus 1) with severe uterine prolapse successfully delivered a live female baby weighing 3190 g at 38 + 5 weeks of gestation by assisted vaginal delivery. Uterine prolapse had improved to approximately 2° by 2 months postoperatively. On postpartum day 4, during the healing process of cervical laceration, the thread loosened in a single layer of continuous sutures due to uterine involution, and poor wound healing was observed. The wound was subsequently re-sutured with a two-layer single ligation suture (Gambee suture + vertical mattress suture). However, on postpartum day 11, a large thread ball was hindering the healing of the muscle layer, which improved with re-suturing. Conclusion Although vaginal delivery in a patient with severe uterine prolapse is possible in some cases, the cervix should be sutured, while considering cervical involution after delivery.

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“…Parity contained several components (pregnancy, labor, delivery) that each of them may lead to pelvic relaxation. On that point is an argument about the effect of labor, without vaginal delivery; most of studies suggest that it has a negligible effect on the uterine prolapsed but some data have yielded opposite results [6,7].…”

Section: Discussionmentioning

confidence: 99%

Genital Prolapse at the End Term of Pregnancy: A Case Report

Abdalla¹

2017

Gynecol Obstet Case Rep

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Uterine prolapsed is a rare condition occurs during pregnancy and lead to many complications. Usually conservative treatment approached to use a vaginal pessary accompanied with bed rest. This current case exhibited obvious role of a vaginal pessary in restoring the prolapsed organ till the time of labor and may expect delivery at home. When studying the style of labor, Gynecologist should bear in their mind the cervical irritation and edema. Along with the genital prolapsed which may affect normal vaginal delivery.

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Uterine prolapse in a primigravid woman

Cited by 10 publications

References 12 publications

Age as the Risk Factor that Affected the Increased Degree of Uterine Prolapse

Age as the Risk Factor that Affected the Increased Degree of Uterine Prolapse

A case report of successful vaginal delivery in a patient with severe uterine prolapse and a review of the healing process of a cervical incision

Genital Prolapse at the End Term of Pregnancy: A Case Report

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