IMR Press / CEOG / Volume 45 / Issue 4 / DOI: 10.12891/ceog4033.2018
Open Access Case Report
Uterine prolapse with complete placenta praevia and umbilical hernia in pregnancy: a case report
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1 Department of Gynecology and Obstetrics, West China Second University Hospital, Sichuan University, Chengdu, China
2 Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, China
3 Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, China
Clin. Exp. Obstet. Gynecol. 2018 , 45(4), 602–604; https://doi.org/10.12891/ceog4033.2018
Published: 10 August 2018
Abstract

Background: Uterine prolapse in pregnancy is rare but it can cause various complications including abortion, preterm labor, cervical ulceration, urinary tract infection, etc. Risk factors include older age, ethnicity, family history, increased body mass index, higher parity, vaginal delivery, and constipation. Case: A nulliparous woman presented with uterine prolapse complicated with complete placenta previa and umbilical hernia. Magnesium sulfate and corticosteroids were administered and prophylactic antibiotic therapy was initiated. A selective low-segment cesarean section was performed at 36+3 week because of complete placenta previa and irregular uterine contractions. Conclusion: Uterine prolapse is rare in pregnancy but usually complicated with infection and preterm labor. Treatment for uterine prolapse in pregnancy needs to be based on patient's will, gestation, severity of prolapse, and other complications. An elective near-term cesarean section may be the safest delivery mode.
Keywords
Uterine prolapse
Pregnancy
Complete placenta previa
Umbilical hernia
Cesarean section
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