Uterine prolapse in pregnancy: a case report and literature review.

Abstract

Uterine prolapse complicating pregnancy is extremely rare. However, in some cases, serious complications may appear such as miscarriage, preterm labor, infection, fetal demise, and maternal death. Management is essentially conservative but surgical intervention is always possible. We report a case of uterine prolapse in a young 24-year-old parturient, para 4, gravida 4 at 36 weeks of gestation. She was presented to the obstetric emergency, with uterine contraction and rupture of the amniotic sac. She successfully gave birth to a male baby weighing 2600 g by assisted vaginal delivery. We opted for conservative treatment and there were no fetal or maternal complications. A pessary was placed at the postpartum. Early diagnosis and good monitoring during pregnancy are essential to avoid complications; improve the prognosis of pregnancy and increase women´s chances to benefit from the advantages of conservative treatment.