Miyano N, Matsushita H
Department of Obstetrics and Gynecology, Shizuoka General Hospital, Shizuoka, Japan.
J Obstet Gynaecol. 2013 Aug;33(6):569-71. doi: 10.3109/01443615.2013.810197.
Uterine cervical prolapse is extremely rare during pregnancy and may predispose patients to serious complications, including maternal death. Four patients are presented here: two patients had pre-existing prolapse and the other two developed prolapse during pregnancy. All the patients required hospitalisation due to threatened pre-term labour. Two patients were delivered via caesarean section at term due to obstetrical complications, but the others delivered spontaneously. In a case of uterine cervical prolapse lasting until term, hospitalisation with bed rest, anti-tocolytic agents and genital hygiene may protect the cervix, resulting in favourable maternal and fetal prognoses.
妊娠期间子宫颈脱垂极为罕见，可能使患者易发生严重并发症，包括孕产妇死亡。本文介绍了4例患者：2例患者孕前即存在脱垂，另外2例在妊娠期间发生脱垂。所有患者均因先兆早产而需住院治疗。2例患者因产科并发症在足月时行剖宫产分娩，但其他患者自然分娩。对于子宫颈脱垂持续至足月的病例，住院卧床休息、使用宫缩抑制剂及保持生殖器官卫生可能对宫颈起到保护作用，从而使母婴预后良好。
