Uterine Prolapse in Pregnancy

Abstract

We present a case of a patient developing uterine prolapse during pregnancy. The cervix reached the introitus at 10 weeks gestation and subsequentely protruted progressively as the pregnancy advanced. The patient was conservatively treated with bed rest and the main maternal and fetal risks are avoided. At 4 months postpartum follow-up there was no evidence of uterine prolapse.

Successful management of uterine prolapse during pregnancy with vaginal pessary: a case report

“…The main causes may be childbirth trauma, obstetric history of difficult deliveries or large babies, congenital connective tissue disorders, obesity, increased intraabdominal pressure, physiologic changes of pregnancy causing cervical elongation, hypertrophy and relaxation of the supportive ligaments (5). In this case uterine prolapse occurred in a first pregnancy and in the second trimester.…”

Near Term Pregnancy in a Patient with Total Uterine Prolapse

“…The Auther observed some of these complications like cervical ulceration with light symptoms of heaviness without pelvic pain. Although in a recent report, Eddib et al managed a similar case with a vaginal delivery, As was said in all of the paperts, the auther also believes elective caesarean section near term because could be the safest delivery method in order to avoid a progression of the prolapse grade and uterine rupture or trauma (4) In conclusion, natural pregnancy during uterine pro-…”

Uterine Prolapse in Pregnancy: A Rare Condition an Obstetrician Should Be Familiar with

“…The condition is usually first noted in the third trimester [2] and disappears after labor and delivery [4] . On the contrary, preexisting uterine prolapse usually resolves spontaneously during pregnancy but it persists or recurs after delivery [2,5,6] .…”

“…On the contrary, preexisting uterine prolapse usually resolves spontaneously during pregnancy but it persists or recurs after delivery [2,5,6] . Clinical manifestations of uterine prolapse demonstrate no obvious difference in pregnancy than in any other period of life [2][3][4] . Conservative management consisting of genital hygiene and bed rest in a slight Trendelenburg position [7] should be considered the foremost treatment option.…”

“…Nevertheless, urinary retention and urinary tract infection [10] , impeded cervical dilation, cervical dystocia and obstructive labor, as well as cervical laceration and a predisposition of rupture of the lower uterine segment are documented [11] . Major complications, such as preterm labor, fetal death, maternal morbidity and even death are rarely reported [2,4] . In an attempt to avoid potential intrapartum complications, the preferable mode of delivery may be elective cesarean section near term, unless preterm labor urges to the theater earlier.…”