Rare Case Of Cervical Prolapse In Pregnancy

ABSTRACT

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.