Title

Extensive cervical prolapse during labor: a case report

Document Type

Article

Peer Reviewed

1

Publication Date

1-1-2008

NLM Title Abbreviation

J Reprod Med

Journal/Book/Conference Title

The Journal of reproductive medicine

PubMed ID

18251369

Abstract

BACKGROUND: An extensive, irreducible cervical prolapse during pregnancy is a rare condition and can lead to various complications, including severe cervical edema and dystocia in labor. Treatment options are very limited. CASE: A 33-year-old woman with spina bifida and a history of multiple intraabdominal operations and extensive intraperitoneal adhesions was admitted in labor at 36(6/7) weeks' gestation with an irreducible cervical prolapse. The cervical prolapse was reduced by topical application of concentrated magnesium sulfate. CONCLUSION: In active labor, a prolapsed cervix that is enlarged and edematous can be managed with a topical concentrated magnesium solution to prevent cervical dystocia and lacerations.

Keywords

Adult, Edema/drug therapy, Female, Humans, Magnesium Sulfate/therapeutic use, Obstetric Labor Complications/diagnosis, Pregnancy, Pregnancy Outcome, Uterine Prolapse/complications/drug therapy

Published Article/Book Citation

The Journal of reproductive medicine, 53:1 (2008) pp.67-69.

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URL

http://ir.uiowa.edu/obgyn_pubs/902