Abstract
Uterine prolapsed is a rare condition occurs during pregnancy and lead to many complications. Usually conservative treatment approached to use a vaginal pessary accompanied with bed rest. This current case exhibited obvious role of a vaginal pessary in restoring the prolapsed organ till the time of labor and may expect delivery at home. When studying the style of labor, Gynecologist should bear in their mind the cervical irritation and edema. Along with the genital prolapsed which may affect normal vaginal delivery.
Highlights
Uterine prolapse is a course of genital prolapsed, which happens when the uterus slips from its place into the vagina
On that point is an argument about the effect of labor, without vaginal delivery; most of studies suggest that it has a negligible effect on the uterine prolapsed but some data have yielded opposite results [6,7]
Conservative management consists of genital hygiene and bed rest in a slight Trendelenburg position, which is managed with close follow-up on an outpatient basis or hospitalization [8]. The condition of this is consistent with finding from a study conducted by Eddib et al from the USA, reported a case of successful pregnancy in a 44-year-old patient with pre-existing total genital prolapsed, came at the first trimester with unplanned pregnancy, prolapse persisted up to the end of the second trimester, choice for her conservative management, along with bed rest and local treatment of the desiccated cervix with emollients
Summary
Uterine prolapse is a course of genital prolapsed, which happens when the uterus slips from its place into the vagina. A 28-year-old lady pregnant four times, Para 3, living 2 presented at 36 weeks of gestation, she complains with from low backache, abdominal pain and a mass in her vagina for 3 days In her current pregnancy was complicated from the beginning and second trimesters. She was admitted to the hospital and the protruding part was returning back without surgical intervention She was given antibiotics, intravenous Betamethasone (12 mg, two times with 12 hours apart) and to continue on prophylactic tocolytic, per oral every 8 hours daily for one week and was counseled about importance of bed rest at home. Intravenous Betamethasone (12 mg, two times with 12 hours apart) and to continue on prophylactic tocolytic, per oral every 8 hours daily for one week and was counseled about importance of bed rest at home After four weeks, she had an uneventful normal vaginal delivery at home and the protruding part return without intervention. The patient was moved over a regime of antibiotic tabs, as well as iron and advised for Sling operation plus tubal ligation after puerperium
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