Repeated term pregnancies in a young patient with pelvic organ prolapse

Pregnancy complicated with pelvic organ prolapse is a rare event; pregnancy in a patient with prolapse existing before the pregnancy is even less common. The authors report two consecutive term pregnancies in a young woman with pelvic organ prolapse. A 24-year-old pregnant woman, gravida 4, para 3, was admitted to the hospital at 38 2/7 weeks gestation with uterine contractions and severe cervical prolapse. She was conservatively treated during the antenatal period. On admission, an edematous and gangrenous totally prolapsed cervix was seen protruding outside the introitus and cesarean section was then performed. A healthy female infant with a birth weight of 2,920 g was delivered. On postpartum second day examination, uterine cervix was reduced. Stage 2 pelvic organ prolapse quantification system (POPQ) was observed during the follow-up examination at sixth weeks postpartum. Conservative approach during pregnancy followed by cesarean section may be the appropriate management in these cases.