Case Report

Successful Management of Cervical Elongaton During Pregnancy And Labor: A Case Report

Abstract

Uterine prolapse and cervical elongation are rare conditions that can complicate pregnancy, labor, and its management. To minimize complications, proper management of this condition is necessary. A 26-year-old woman referred to our outpatient clinic with a lump protruding from her vagina. She was 16 weeks pregnant. Physical examination revealed uterine prolapse and cervical elongation, so to prevent the complications of the protruded cervix, a pessary was inserted. She had the pessary during the first stage of labor until the rupture of membranes (at 6 cm cervical dilatation). After removal of the pessary, although the cervix was out of introitus, the active phase of labor initiated and a normal vaginal delivery was done. New- onset prolapse during pregnancy with more probability is due to cervical elongation. During labor and delivery, this condition could be managed with conservative methods, including pessary placement. and this condition could be managed with conservative methods including pessary placement during pregnancy and labor.

[1] Meydanli MM, Üstün Y, Yalcin OT. Pelvic organ prolapse complicatng third trimester pregnancy. A case report. Gynecologic and Obstetric Investgaton. 2006; 61(3):133-4. [DOI:10.1159/000090034] [PMID]
[2] Mohamed-Suphan N, Ng RKW. Uterine prolapse complicatng pregnancy and labor: A case report and literature review. Internatonal Urogynecology Journal. 2012; 23(5):647-50. [DOI:10.1007/ s00192-011-1573-2] [PMID]
[3] Horowitz E, Yogev Y, Hod M, Kaplan B. Prolapse and elongaton of the cervix during pregnancy. Internatonal Journal of Gynecology & Obstetrics. 2002; 77(2):147-8. [DOI:10.1016/S0020- 7292(01)00585-9]
[4] Carley ME, Schaffer J. Urinary incontnence and pelvic organ prolapse in women with Marfan or Ehlers-Danlos syndrome. American Journal of Obstetrics and Gynecology. 2000; 182(5):1021-3. [DOI:10.1067/mob.2000.105410] [PMID]
[5] Lince SL, van Kempen LC, Vierhout ME, Kluivers KB. A systematc review of clinical studies on hereditary factors in pelvic organ prolapse. Internatonal Urogynecology Journal. 2012; 23(10):1327-36. [DOI:10.1007/s00192-012-1704-4] [PMID] [PMCID]
[6] Swif S, Woodman P, O’boyle A, Kahn M, Valley M, Bland D, et al. Pelvic Organ Support Study (POSST): The distributon, clinical defniton, and epidemiologic conditon of pelvic organ support defects. American Journal of Obstetrics and Gynecology. 2005; 192(3):795-806. [DOI:10.1016/j.ajog.2004.10.602] [PMID]
[7] Miyano N, Matsushita H. Maternal and perinatal outcome in pregnancies complicated by uterine cervical prolapse. Journal of Obstetrics and Gynaecology. 2013; 33(6):569-71. [DOI:10.3109/0144 3615.2013.810197] [PMID]
[8] Ibeanu OA, Chesson RR, Sandquist D, Perez J, Santago K, Nolan TE. Hypertrophic cervical elongaton: Clinical and histological correlatons. Internatonal Urogynecology Journal. 2010; 21(8):995-1000. [DOI:10.1007/s00192-010-1131-3] [PMID]
[9] Ghose S, Samal S, Coumary S, Pallavee P, Jenkins A. Utero-vaginal prolapse in primigravida: A case report. Internatonal Journal of Reproducton, Contracepton, Obstetrics and Gynecology (IJRCOG). 2012; 1(1):50-1. [DOI:10.5455/2320-1770.ijrcog000412]
[10] Gupta R, Tickoo G. Persistent uterine prolapse during pregnancy and labour. The Journal of Obstetrics and Gynecology of India. 2012; 62(5):568-70. [DOI:10.1007/s13224-012-0121-4] [PMID] [PMCID]
Files
IssueVol 5 No 4 (2020): Autumn QRcode
SectionCase Report(s)
DOI https://doi.org/10.18502/crcp.v5i4.5050
Keywords
Cervical elongaton Utero-vaginal prolapse; Pessary Pregnancy
Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Shokouhi N, Ghanbari Z, Saedi N. Successful Management of Cervical Elongaton During Pregnancy And Labor: A Case Report. CRCP. 2021;5(4):98-100.