Eddib Abeer, Allaf M Baraa, Lele Amol
Department of Gynecology-Obstetrics, University at Buffalo, State University of New York, 219 Bryant Street, Buffalo, NY 14222, USA.
J Reprod Med. 2010 Jan-Feb;55(1-2):67-70.
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.
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.
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.
妊娠期子宫脱垂较为罕见，可在孕期发生，也可在妊娠前就已存在。我们报告一例既往有子宫脱垂的患者成功妊娠的病例。
一名44岁有完全性子宫脱垂病史的女性意外怀孕。初次就诊时孕15周，子宫脱垂伴宫颈延长，宫颈脱出阴道口10厘米。脱垂持续至约30周，在此期间通过卧床休息、胸膝卧位以及用润肤剂对干燥宫颈进行局部治疗等保守方法处理。患者顺产，数月后接受了阴道子宫切除术、前后壁修补术及骶棘韧带固定术。
既往有子宫脱垂的孕妇，其子宫脱垂在孕晚期可能无需治疗即可缓解。预计孕期过程无其他并发症且可经阴道分娩。
