Cervical prolapse during labor: A case report

IF 0.7 Q4 OBSTETRICS & GYNECOLOGY Case Reports in Women's Health Pub Date : 2025-01-30 DOI:10.1016/j.crwh.2025.e00690

Adugnaw Bogale Worku , Molla Asnake Kebede , Abebe Agegn Wudineh , Adefris Getachew Techane , Mekuanint Dessie Lakew , Chuchu Arega Zeleke

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Abstract

Uterine prolapse during pregnancy is rare, occurring in approximately 1 in 10,000 to 15,000 deliveries. It presents significant risks to both maternal and fetal health, and the optimal delivery method depends on the severity of prolapse, labor progression, and the well-being of both mother and baby.

A 25-year-old woman presented at 38 weeks and 4 days of gestation with vaginal mass protrusion and pain on pushing down. Examination revealed an irreducible cervical prolapse with swelling during the early stage of labor. Fetal ultrasound confirmed a normal head-down position and adequate amniotic fluid. Due to persistent fetal tachycardia, an emergency cesarean section was performed, resulting in the delivery of a healthy 3000 g male infant. Postoperatively, the mother was placed in the Trendelenburg position, which led to the spontaneous resolution of the prolapse by the third postpartum day. At the six-week follow-up, the uterine prolapse had completely resolved.

This case emphasizes the importance of individualized management and timely intervention. Postpartum uterine prolapse often resolves spontaneously with conservative care. A multidisciplinary approach is crucial for optimizing maternal and fetal outcomes, especially in resource-limited settings.

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