Yogev Y, Horowitz E R, Ben-Haroush A, Kaplan B
Clin Exp Obstet Gynecol. 2003;30(4):183-5.
Prolapse with elongation of the cervix is a rare complication of pregnancy. Prolapse that existed before onset of pregnancy will usually resolve spontaneously by the end of the second trimester, without further complications. A pessary can be used to protect the cervix. Prolapse that develops during pregnancy is usually first noted in the third trimester, and management consists of bed rest in a slight Trendelenburg position. In these cases, pessaries will probably not remain in place or prevent preterm labor. Patient discomfort, urinary tract infection, acute urinary retention, premature labor, and prenatal loss are still major complications, and prolapse usually persists or recurs after labor. Treatment depends on the severity of the condition and the patient's preference.
宫颈脱垂伴宫颈延长是妊娠的一种罕见并发症。妊娠前就存在的脱垂通常在孕中期结束时会自行缓解,且无进一步并发症。可使用子宫托来保护宫颈。孕期发生的脱垂通常在孕晚期首次被发现,处理方法包括采取轻度头低脚高位卧床休息。在这些情况下,子宫托可能无法保持在位或预防早产。患者不适、尿路感染、急性尿潴留、早产和产前流产仍是主要并发症,且脱垂在产后通常会持续或复发。治疗取决于病情的严重程度和患者的偏好。