Document Detail

Pregnancy in a woman with uterine procidentia: a case report.
MedLine Citation:
PMID:  20337211     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Uterine prolapse in pregnancy is rare and can either occur during pregnancy or be present before the pregnancy. We present a case of a successful pregnancy in a patient with preexisting uterine procidentia. CASE: A 44-year-old woman with a history of complete uterine prolapse presented with an unplanned pregnancy. Upon initial presentation at 15 weeks she had uterine prolapse with cervical elongation that protruded 10 cm past the introitus. The prolapse persisted until about 30 weeks, during which it was conservatively managed with bed rest, knee-chest positions and local treatment of the desiccated cervix with emollients. The patient had an uncomplicated vaginal delivery and underwent a vaginal hysterectomy, anterior-posterior repair and a sacrospinous ligament fixation a few months later. CONCLUSION: Uterine prolapse in pregnant women with preexisting prolapse will probably resolve in the third trimester without treatment. An otherwise uncomplicated course and a vaginal delivery can be expected.
Abeer Eddib; M Baraa Allaf; Amol Lele
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  55     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:    2010 Jan-Feb
Date Detail:
Created Date:  2010-03-26     Completed Date:  2010-05-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  67-70     Citation Subset:  IM    
Department of Gynecology-Obstetrics, University at Buffalo, State University of New York, 219 Bryant Street, Buffalo, NY 14222, USA.
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MeSH Terms
Bed Rest
Hysterectomy, Vaginal
Labor, Induced
Ligaments / surgery
Oligohydramnios / diagnosis,  surgery
Pregnancy Complications / pathology*,  surgery
Pregnancy Outcome
Pregnancy, Unplanned
Treatment Outcome
Urinary Incontinence, Stress / etiology,  surgery
Uterine Prolapse / pathology*,  surgery*

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