Unusual Pregnancy-Cervical Prolapse and Preterm Birth: A Case Report

Abstract

Cervical prolapse during pregnancy is quite rare. When it presents, it can be complicated by spontaneous abortions, preterm labour, cervical infections, and foetal and maternal mortality. To date, there is no set protocol for the management of this condition. In the present case of a 23-year-old unbooked third gravida, authors have discussed be discussing a 3rd gravida with the previous two live births presenting to the casualty with preterm labour pain and cervical prolapse in her trimester of pregnancy. She was initially managed by tocolysis, followed by insertion of a pessary, and her pregnancy was terminated at term by caesarean section. The management of cervical prolapse during pregnancy should take into consideration the gestational age and the degree of prolapse; it must be individualised to each patient.

Keywords

• cervical descent
• high-risk pregnancy
• pelvic organ prolapse
• vaginal pessary