Ozyer S, Uzunlar O, Payasli A, Toğrul C, Beşli M, Danişman N
Department of Perinatology, Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara, Turkey.
Clin Exp Obstet Gynecol. 2013;40(1):159-61.
Pregnancy complicated with pelvic organ prolapse is a rare event; pregnancy in a patient with prolapse existing before the pregnancy is even less common. The authors report two consecutive term pregnancies in a young woman with pelvic organ prolapse. A 24-year-old pregnant woman, gravida 4, para 3, was admitted to the hospital at 38 2/7 weeks gestation with uterine contractions and severe cervical prolapse. She was conservatively treated during the antenatal period. On admission, an edematous and gangrenous totally prolapsed cervix was seen protruding outside the introitus and cesarean section was then performed. A healthy female infant with a birth weight of 2,920 g was delivered. On postpartum second day examination, uterine cervix was reduced. Stage 2 pelvic organ prolapse quantification system (POPQ) was observed during the follow-up examination at sixth weeks postpartum. Conservative approach during pregnancy followed by cesarean section may be the appropriate management in these cases.
妊娠合并盆腔器官脱垂是一种罕见情况；妊娠前就已存在脱垂的患者怀孕则更为少见。作者报告了一名患有盆腔器官脱垂的年轻女性连续两次足月妊娠的病例。一名24岁孕妇，孕4产3，孕38 2/7周时因子宫收缩和严重宫颈脱垂入院。孕期给予保守治疗。入院时可见水肿、坏疽的完全脱垂宫颈突出于阴道口外，随后行剖宫产术。分娩出一名出生体重2920g的健康女婴。产后第二天检查时，宫颈回缩。产后第六周随访检查时观察到盆腔器官脱垂定量系统（POPQ）2期。孕期采用保守治疗随后行剖宫产术可能是这些病例的合适处理方法。
