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Cervical prolapse complicating pregnancy

H L Brown1

  • 1Department of Obstetrics-Gynecology, Louisiana State University Medical Center, New Orleans, USA.

Journal of the National Medical Association
|May 1, 1997
PubMed
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Cervical prolapse during pregnancy is uncommon but can lead to premature labor. Close monitoring is crucial for pregnant individuals experiencing this condition to mitigate risks of preterm birth.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • Uterine cervical prolapse concurrent with pregnancy is a rare clinical occurrence.
  • Second-degree cervical prolapse presents unique challenges during gestation.

Purpose of the Study:

  • To report three cases of second-degree uterine cervical prolapse during pregnancy.
  • To highlight the association between cervical prolapse and adverse pregnancy outcomes.

Main Methods:

  • Case series reporting three instances of cervical prolapse in pregnant women.
  • Review of treatment approaches, including vaginal pessary use.

Main Results:

  • Two cases involved prolapse developing in the late second trimester; one had pre-existing prolapse.

Related Experiment Videos

  • Vaginal pessary treatment was unsuccessful in maintaining cervical placement for those with new-onset prolapse.
  • Both women who developed prolapse mid-pregnancy experienced premature labor, with one resulting in preterm birth.

    • Conclusions:

    • While rare, uterine cervical prolapse during pregnancy poses a significant risk for preterm labor and delivery.
    • Close observation and management are essential for pregnant patients diagnosed with cervical prolapse.