RESUMO
Uterine cervical prolapse with pregnancy is rare, the threat to preterm labour and close observation needed. Here we present a case of gravid 2 para 0 abortion 1 and live 0 with 38 weeks of pregnancy with third degree cervical descent with labour pains.Pt on her previous visit was kept ring pessary and advice for follow up. Patient underwent emergency lower segment caesarean section on 21/9/2016 with cupperT insertion after observation. She delivered female baby of weight 2.8 kg and apgar score 8 & 9.The patient cervix remain prolapsed in early postpartum period. The patient was discharged and scheduled for further follow up in gynaecology clinic. Genital prolapse may develop before or during the pregnancy. Prolapse occurs due to tearing down of support structure of uterus. Pre- existing prolapse has been associated with infertility and spontaneous abortion. Women during late pregnancy encountered the complication of cervical dystocia due to non- retractable oedematous cervix. Management depends on the degree of prolapse and gestational age. Conservative management with bed rest, vaginal pessary, tocolysis to prevent pre-term labour and to achieve near term gestation, with few delivery complication and at last caesarean section.
RESUMO
Objective To compare the clinical effects of treating cervical prolapse of intervertebral disc by using Solis cage, titanium cage and autogenous iliac crest graft (AICG) combined with titanium plate. Methods 64 cases of cervical prolapse of intervertebral disc were analyzed retrospectively. All the patients were followed up for about one year. Group A is composed of 20 patients (30 intervertebral spaces) treated with microdiscectomy and Solis cage fusion;group B is composed of 21 patients(22 intervertebral spaces) treated with titanium cage and group C is involved of 23patients(28 intervertebral spaces) which were dealt with AICG combined with titanium plate. The differences in the to-tal X ray exposure time, time working on iliac bone, incidence of complications, fusion rate, incidence of JOA score recovery rate more than 50 % and rehabilitation time of the three groups are analyzed. Results All indexes from group A and B were more satisfactory than those from group C (P＜0. 05). The statistic analysis results of the incidence of complications of cervical part, rehabilitation time in group A are 5.0± 1.8, 5.1 ± 1.2; and that is 14.3±2.6, 7.5 ± 1.6and 26.1±6.2, 8.6±2.3 in group B and group C respectively. There is significant difference between group A and group B on the incidence of complications of cervical part and rehabilitation time (P＜0.05). Results of the incidence of JOA score recovery rate ＞ 50 % in group A(95.8 ± 3.2) was more satisfactory than that in group B(93.6 ± 2.9),while there was no statistical difference between group A and group B (P＞0.05). Conclusion The Solis cage is better in treating the cervical prolapse of intervertebral disc than other ways. Also, it makes the operation easier, rehabilitation time shorter, and it causes fewer complications.
RESUMO
Uterine cervical prolapse concurrent with pregnancy is a rare situation. Large variety of management options for pregnancy, labor, and delivery to this situation had been reported. We have experienced one case of third-degree cervical prolapse combined with pregnancy. This woman visited our hospital in the late first trimester. We had managed the patient successfully with a vaginal pessary to maintain cervical placement. hereby, We report this case with a brief review.