Vargas Brandon Alejandro Muñoz, García Aura Esperanza Velasco, Mendoza Rafael Leonardo Aragón, Sarmiento Camilo Alberto Garzón, Vargas Elman Hackson Leal
Obstetrics and Gynecology, Universidad de La Sabana, Hospital Universitario de La Samaritana, Bogotá, Colombia.
Maternal and Fetal Medicine, Hospital Universitario de La Samaritana, Bogotá, Colombia.
Case Rep Womens Health. 2022 May 14;35:e00421. doi: 10.1016/j.crwh.2022.e00421. eCollection 2022 Jul.
During pregnancy, pelvic organ prolapse is uncommon and is associated with adverse outcomes such as vaginal infection, cervical ulceration, and preterm delivery. Treatment includes conservative and surgical management during pregnancy. A 32-year-old woman presented with a history of vaginal delivery eight months earlier reported the sensation of a vaginal mass lasting seven months. On physical examination, we noted pelvic organ prolapse and 19-week pregnancy. We treated her conservatively with a Gellhorn pessary and antenatal corticosteroid for fetal lung maturation at 32 weeks due to a high risk of preterm delivery. The pregnancy proceeded with no obstetric complications and vaginal delivery at term of a healthy neonate. Conservative management for patients with pelvic organ prolapse during pregnancy using a pessary is the best option to improve maternal symptomatology and minimize gestational risk; there is no contraindication for vaginal delivery, and cesarean section is reserved for obstetric indications.
孕期盆腔器官脱垂并不常见，且与阴道感染、宫颈溃疡和早产等不良结局相关。孕期治疗包括保守治疗和手术治疗。一名32岁女性，有8个月前经阴道分娩史，自述有阴道肿物感持续7个月。体格检查发现盆腔器官脱垂及孕19周。因早产风险高，我们在32周时用Gellhorn子宫托对其进行保守治疗，并给予产前糖皮质激素促进胎儿肺成熟。妊娠过程无产科并发症，足月经阴道分娩一健康新生儿。孕期使用子宫托对盆腔器官脱垂患者进行保守治疗是改善母体症状并将妊娠风险降至最低的最佳选择；阴道分娩无禁忌证，剖宫产仅用于产科指征。
