Partsinevelos G A, Mesogitis S, Papantoniou N, Antsaklis A
First Department of Obstetrics and Gynaecology, Alexandra Maternity Hospital, University of Athens, Medical School, Athens, Greece.
Fetal Diagn Ther. 2008;24(3):296-8. doi: 10.1159/000158521. Epub 2008 Sep 26.
Uterine prolapse complicating pregnancy is a rare event. Early recognition is essential in order to avoid possible maternal and fetal risks. We report the case of a 37-year-old pregnant woman who presented to the antenatal outpatient clinic with uterine prolapse at 31(+1) weeks of gestation. Sonographic examination revealed an enlarged fibromatous uterus. She was conservatively treated on an inpatient basis. Two weeks later she underwent an emergency cesarean section because of preterm uterine contractions. A live male neonate weighing 1,900 g was delivered. We believe that conservative management with bed rest, followed by an elective cesarean section, may ensure an uncomplicated gestation and an uneventful delivery.
妊娠合并子宫脱垂是一种罕见的情况。早期识别对于避免可能的母婴风险至关重要。我们报告一例37岁孕妇的病例,该孕妇在妊娠31(+1)周时因子宫脱垂就诊于产前门诊。超声检查显示子宫纤维瘤增大。她在住院期间接受了保守治疗。两周后,由于早产宫缩,她接受了急诊剖宫产。一名体重1900克的活男婴出生。我们认为,卧床休息的保守治疗,随后进行择期剖宫产,可能确保妊娠顺利和分娩平安。