Uterine prolapse complicating pregnancy.

Mun, Seong Taek; Kim, Yun Sook; Jeon, Seob; Choi, Seung Do; Sunwoo, Jae Gun; Bae, Dong Han

Case Report

Korean Journal of Obstetrics & Gynecology 2008;51(9):1034-1037.
Published online September 1, 2008.

Uterine prolapse complicating pregnancy.

Seong Taek Mun, Yun Sook Kim, Seob Jeon, Seung Do Choi, Jae Gun Sunwoo, Dong Han Bae

Department of Obstetrics and Gynecology, University of Soonchunhyang, College of medicine, Soonchunhyang University Chunan Hospital, Chunan, Korea. drsook@schch.co.kr

Abstract

Uterine prolapse is extremely rare during pregnancy. However in some cases significant complications such as urinary tract infection, voiding difficulty, abortion, and preterm labor may develop. Conservative management consisted of bed rest and use of a pessary. An elective cesarean section near term is the safest mode of delivery in cases where the cervix is edematous and elongated. We present a case of a patient developing uterine prolapse at 12 weeks of gestation, treated with bed rest and use of a pessary. A repeat cesarean section was performed at 38 weeks of gestation and report with a brief review of literatures.

Key Words: Uterine prolapse, Pregnancy, Pessary