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Cervical prolapse during labor: A case report.

Adugnaw Bogale Worku1, Molla Asnake Kebede2, Abebe Agegn Wudineh3

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Case Reports in Women'S Health
|February 20, 2025
PubMed
Summary

Uterine prolapse during pregnancy is rare but serious. This case highlights successful emergency cesarean delivery and conservative postpartum management for uterine prolapse, ensuring positive maternal and fetal outcomes.

Keywords:
Cervical prolapseUterine prolapse

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • Uterine prolapse during pregnancy is a rare complication, affecting approximately 1 in 10,000 to 15,000 deliveries.
  • It poses significant risks to both maternal and fetal well-being, necessitating careful management strategies.

Observation:

  • A 25-year-old woman at 38 weeks gestation presented with symptoms of irreducible cervical prolapse during early labor.
  • Examination revealed cervical prolapse with swelling; fetal ultrasound confirmed normal fetal position and adequate amniotic fluid.

Findings:

  • An emergency cesarean section was performed due to persistent fetal tachycardia, resulting in the delivery of a healthy infant.
  • Postoperative Trendelenburg positioning led to spontaneous resolution of the uterine prolapse by the third postpartum day.
  • Complete resolution of uterine prolapse was observed at the six-week postpartum follow-up.

Implications:

  • This case underscores the importance of individualized management and prompt intervention for uterine prolapse during pregnancy.
  • Postpartum uterine prolapse often resolves with conservative care, and a multidisciplinary approach is vital for optimal outcomes.
  • Effective management, even in resource-limited settings, can significantly improve maternal and fetal health in rare obstetric complications.