Uterine prolapse following fundal pressure in the first stage of labour: a case report

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J Tukur1, A O Omale, H Abdullahi

  • 1Department of Obstetrics and Gynaecology, Aminu Kano Teaching Hospital, Kano, Nigeria. jtukur@yahoo.com

Annals of African Medicine
|March 22, 2008
PubMed

The use of fundal pressure to assist a woman in labor is a controversial procedure. Its benefits are yet to be scientifically confirmed and it is associated with complications such as perineal lacerations, uterine rupture and uterine inversion. A case is reported of a 28year old Gravida 5 Para ?? (3 Alive) who presented to Aminu Kano Teaching Hospital, (AKTH) Kano, Nigeria with uterine prolapse following fundal pressure done in the first stage of labor in a peripheral hospital. She was delivered by Cesarean section and the prolapse successfully reduced under general anesthesia. Health workers need education on the risks associated with fundal pressure. Alternative methods of aiding women in labor should be promoted.

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