Publication:

Pregnancy with third degree uterine prolapse: a rare case report

Occurrence of prolapse of uterus during pregnancy is an extremely rare event. Less than 300 cases have been reported in the literature till date. Incidence of uterine prolapse in pregnancy is 1 in 10,000-15,000 deliveries worldwide. A 35 year old G5P3L1A1 with history of five months amenorrhea was referred to our hospital in view of uterine prolapse. On enquiring she gave history of something coming out of vagina since one month. On local examination, third degree uterovaginal prolapse with cord prolapse seen. Patient went into labour spontaneously and expelled an abortus. She was discharged next day with advice regarding follow up visit after six weeks. Uterine prolapse during pregnancy is a rare occurrence which increases both maternal and fetal morbidity. There are many etiological factors which have been cited to be responsible for this condition, important ones are: Multiparity, vaginal delivery, advanced maternal age, increased body mass index. Elective caesarean section can be planned in cases with edematous and elongated cervix. Individualized approach and careful monitoring is the key to manage such patients. Uterine prolapse during pregnancy is a rare event. While managing such patients, an obstetrician should keep in mind threats of spontaneous abortion, preterm labour, cervical dystocia, etc.