Yousaf Shumaila, Haq Bushra, Rana Tabinda
Department of Obstetrics and Gynaecology, Lady Willingdon Hospital, Lahore, Pakistan.
J Obstet Gynaecol Res. 2011 Mar;37(3):264-6. doi: 10.1111/j.1447-0756.2010.01366.x. Epub 2011 Jan 27.
Uterovaginal prolapse complicating pregnancy is an extremely rare event. Obstetricians should be familiar with the condition as early recognition and close follow up is essential in order to avoid possible fetomaternal risks. We report a case of 35-year-old lady who presented to the emergency with complaints of labor pains, absent fetal movements and huge uterine cervical prolapse in active phase of labor. She was conservatively treated with bedrest, blood transfusions and irrigation of prolapsed cervix. A dead female fetus was delivered vaginally. Ring pessary was placed postnatally. We believe that an extensive uterovaginal prolapse needs close surveillance and can be managed conservatively.
子宫阴道脱垂合并妊娠是极为罕见的情况。产科医生应熟悉这种病症，因为早期识别和密切随访对于避免可能的母胎风险至关重要。我们报告一例35岁女性病例，该患者因临产疼痛、胎动消失及产程活跃期巨大宫颈脱垂而急诊入院。她接受了卧床休息、输血及脱垂宫颈冲洗的保守治疗。经阴道分娩出一死女胎。产后放置了环形子宫托。我们认为，广泛性子宫阴道脱垂需要密切监测，且可采用保守治疗。
