Genital Prolapse on Pregnancy: Case Study and Literature Review
Biaye B, Barry A, Gassama O, Cisse ML, Diouf AA, Niang MM, Cisse M, Diouf A, Diakhat A, Fall KBM, Gueye K, Moreira PM, Diouf A, Moreau JC.
Aristide Le Dantec hospital in Dakar, Senegal
Genital prolapse is a common gynecological condition, but it is exceptional during pregnancy. It can be pre-existent or else manifest in the course of pregnancy. Complications resulting from prolapse of the uterus in pregnancy vary from minor cervical infection to spontaneous abortion, and include preterm labor and maternal and fetal mortality as well as acute urinary retention and urinary tract infection. Moreover, affected women may be at particular risk of dystocia during labor that could necessitate emergency intervention for delivery.
We report the case of a third third-generation 32-year-old third gesture second pare with no particular health history. The last two pregnancies proceeded normally with stage 2 genital prolapse occurring in the second trimester of pregnancy that was aggravated by abdominal expression during childbirth.
Keywords: genital prolapse, pregnancy, complications, abdominal expression
How to cite this article:
Biaye B, Barry A, Gassama O, Cisse ML, Diouf AA, Niang MM, Cisse M, Diouf A, Diakhat A, Fall KBM, Gueye K, Moreira PM, Diouf A, Moreau JC. Genital Prolapse on Pregnancy: Case Study and Literature Review. International Research Journal of Obstetrics and Gynecology, 2019, 2:9. DOI: 10.28933/irjog-2019-06-0505
1. Guariglia L. Uterine prolapse in pregnancy. Gynecol Obstet Invest 2005 ;60:192-4.
2. Mohamed-Suphan N. Uterine prolapse complicating pregnancy and labor : a case report and littérature rewiew.Int Urogynecol J 2012 ;23 :647-50.
3. DeLancey JO. The anatomy of the pelvic ﬂoor. Curr Opin Obstet
4. Kamina P, Chansigaud JP. [Support and suspension of the pelvic viscera in women. Functional and surgical anatomy]. J Gynecol.Obstet.Biol.Reprod.(Paris) 1988;17:835-48
5. Schauberger CW. Peripheral joint laxity incrase in pregnancy but does not correlate whith serum relaxin. Amm J Obstet Gynecol 1997 ; 174 :667-71.
6. Jackson SR. Change in metabolism of collagen in genitourinary prolapse. Lancet 1996 ; 347 : 466-75.
7. Rinne KM. What predispose young women to genital prolapse. Eur J Obstet Gynecol Reprod Biol 1999 84(1) : 23-5.
8. O’Boyle AL. Pelvic organ support in nulliparious pregnancy and nonpregnan women : a case control study. Am J Obstet Gynecol 2002 ;187 : 99-102.
9. Gyhagen M, Bullarbo M, Nielsen TF, Milsom I. Prevalence and risk factors for pelvic organ prolapse 20 years after childbirth: a national cohort study in singleton primiparae after vaginal or caesarean delivery BJOG 2013 ; 120 : 154-60.
10. Handa VL, Blomquist JL, Knoepp LR, Hoskey KA. Pelvic floor disorders 510 years after vaginal or cesarean childbirth Obstet Gynecol 2011 ; 118 : 777-84.
11. Kudish BI, Iglesia CB, Gutman RE, Sokol AI, Rodgers AK, Gass M. Risk factors for prolapse development in white, black, and Hispanic women Female Pelvic Med Reconstr Surg 2011 ; 17 : 80-90.
12. Tegerstedt G, Miedel A, MaehleSchmidt M, Nyren O, Hammarstrom M. Obstetric risk factors for symptomatic prolapse: a population based approach Am J Obstet Gynecol 2006 ; 194 : 75-81.
13. Gaetane J, Labriola BF. Prolapse of the uterus complicating pregnancy and labor; review and report of two cases. Obstet Gynecol 1956;8:278–83.
14. Sze EH, Sherard GB III, Dolezal JM. Pregnancy, labor, delivery, and pelvic organ prolapse. Obstet Gynecol 2002;100:981-6.
15. Swift S, Woodman P, O’Boyle A, Kahn M, Valley M, Bland D, et al. Pelvic Organ Support Study (POSST): the distribution, clinical definition, and epidemiologic condition of pelvic organ support defects Am J Obstet Gynecol 2005 ; 192 : 795-806.
16. Tukur J, Omale AO, Abdullahi H, Datti Z. Uterine prolapse following fundal pressure in the first stage of labour: a case report. Ann Afr Med 2007;6:194–6.
17. Jackson H, Granger S, Price R, et al. Diagnosis and laparoscopic treatment of surgical diseases during pregnancy: an evidence-based review. Surg Endosc 2008;22:1917–27.