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Obstet Gynecol Sci > Volume 53(8); 2010 > Article
Korean Journal of Obstetrics & Gynecology 2010;53(8):727-731.
DOI: https://doi.org/10.5468/kjog.2010.53.8.727    Published online August 1, 2010.
A third stage pelvic organ prolapse due to cervical swelling during labor: A case report.
Kyung Hee Han, Jae Jun Shin, Mi Sun Shin, Byoung Jae Kim, Kyu Ri Hwang, Hye Won Jun, Kwang Bum Bae
1Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea. bjkimmd7@snu.ac.kr
2Department of Obstetrics and Gynecology, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul, Korea.
Abstract
Pelvic organ prolapse complicating pregnancy is a rare clinical condition and its incidence is one in 10,000~15,000 deliveries. It is associated with multiparity, low socioeconomic status, inadequate perinatal care, maternal malnutrition, previous abdominal surgery, and weakness of pelvic muscular and connective tissue. It can cause cervical dystocia, which leads to cervical laceration, uterine rupture, maternal and fetal death. We experienced a case, first in Korea, of cervical swelling that developed during labor, prolapsed beyond the vaginal introitus and thus obstructed the birth canal. The patient underwent cesarean section and subsequently received MgSO4 topical therapy and resulted in complete resolution. We report this case with a brief review of literature.
Key Words: Pelvic organ prolapse, Pregnancy, Labor, Cervical dystocia, Magnesium sulfate


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