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Extensive uterovaginal prolapse during labor
Shumaila Yousaf1, Bushra Haq, Tabinda Rana
1Department of Obstetrics and Gynaecology, Lady Willingdon Hospital, Lahore, Pakistan. dr_digoxin@hotmail.com
The Journal of Obstetrics and Gynaecology Research
|January 29, 2011
Summary
Uterovaginal prolapse during pregnancy is rare but requires prompt recognition. Conservative management, including bedrest and irrigation, can be effective for severe cases, though fetal outcomes may be poor.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Background:
- Uterovaginal prolapse complicating pregnancy is exceptionally rare.
- Early recognition and vigilant monitoring are crucial for managing potential fetomaternal risks.
Observation:
- A 35-year-old woman presented with labor pains, absent fetal movements, and severe uterovaginal prolapse during active labor.
- The patient received conservative treatment including bedrest, blood transfusions, and cervical irrigation.
Findings:
- A non-viable female fetus was delivered vaginally.
- Postnatal management included the placement of a ring pessary.
Implications:
- Extensive uterovaginal prolapse during pregnancy necessitates close surveillance.
- Conservative management strategies can be employed, but fetal prognosis must be carefully considered.
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