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Case Reports
. 2022 Apr 8;16(1):141.
doi: 10.1186/s13256-022-03358-y.

Uterovaginal prolapse in a primigravida presenting in active first stage of labor: a case report

Bezza Kedida Dabi  1 , Demisew Amenu Sori  2 , Fanta Asefa Disasa  2
Affiliations
Case Reports

Uterovaginal prolapse in a primigravida presenting in active first stage of labor: a case report

Bezza Kedida Dabi et al. J Med Case Rep. .

Abstract

Background: Uterovaginal prolapse is the descent of the uterus and vagina down the birth canal toward the introitus. The occurrence of uterovaginal prolapse in a primigravida is very rare. It can cause preterm labor, fetal demise, spontaneous abortion, postpartum hemorrhage, maternal urinary complications, sepsis, and death. This case report presents the rare occurrence of uterovaginal prolapse in a primigravida woman with no major risk factors identified for prolapse, who presented in active first stage of labor and delivered vaginally.

Case presentation: A 30-year-old Oromo primigravida woman who did not remember her last normal menstrual period but claimed amenorrhea of 9 months duration presented with the urge to bear down of 12 hours duration and passage of liquor of 8 hours duration. She was referred from the local health center to Jimma Medical Center with a diagnosis of prolonged labor. At presentation, she was in active first stage of labor with cervix 5-6 cm and fetal heartbeat was negative. She was followed for the progress of labor, and 4 hours after admission to the labor ward, she delivered a freshly dead male neonate weighing 3000 g. Her postpartum period was uneventful, and she was discharged on her third postpartum day and referred after 6 weeks to the outpatient department.

Conclusion: Uterovaginal prolapse occurring in primigravida and during labor at first recognition is very rare, with congenital weakness being a possible underlying pathology. Management of uterovaginal prolapse during labor should be individualized on the basis of fetal condition and the severity of prolapse. For a patient with pelvic organ prolapse in labor, expectant management is a good option when there is no severe edema resulting in obstructed labor, as in our case, where the patient delivered vaginally and the prolapse resolved postpartum.

Keywords: Active first stage of labor; Case report; Ethiopia; Primigravida; Third-trimester pregnancy; Uterovaginal prolapse.

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Conflict of interest statement

The authors of this case report declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Uterovaginal prolapse. A Fetal head in the prolapsed uterus. B Cervix tightened around the fetal head with laceration at 2 o’clock. C Prolapsed anterior vaginal wall. D Cord with placenta inside the prolapsed uterus. E Prolapsed uterus after delivery of the placenta and the fetus
See this image and copyright information in PMC

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References

    1. Kim JO, Jang SA, Lee JY, Yun NR, Lee S-H, Hwang SO. Uterine prolapse in a primigravid woman. Obstet Gynecol Sci. 2016;59(3):241. doi: 10.5468/ogs.2016.59.3.241. - DOI - PMC - PubMed
    1. Saha PK, Suri V, Sikka P. Pregnancy with irreducible utero-vaginal prolapse. J Clin Diagnostic Res. 2015;9(9):QD01–QD02. - PMC - PubMed
    1. Mohamed-Suphan NB, Ng RKW. Uterine prolapse complicating pregnancy and labor: a case report and literature review. Int Urogynecol J. 2012;23(5):647–650. doi: 10.1007/s00192-011-1573-2. - DOI - PubMed
    1. Rusavy Z, Bombieri L, Freeman RM. Procidentia in pregnancy: a systematic review and recommendations for practice. Int Urogynecol J Pelvic Floor Dysfunct. 2015;26(8):1103–1109. doi: 10.1007/s00192-014-2595-3. - DOI - PubMed
    1. Ishida H, Takahashi K, Kurachi H. Uterine prolapse during late pregnancy in a nulliparous woman. Int Urogynecol J. 2014;2390308(2390308):1739–1740. doi: 10.1007/s00192-014-2457-z. - DOI - PubMed

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