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Advanced uterine prolapse during pregnancy: pre- and postnatal management

Pizzoferrato, A-C ; Bui, C ; Fauconnier, A ; Bader, G

Gynécologie, obstétrique & fertilité, 2013-07, Vol.41 (7-8), p.467-470

France

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  • Título:
    Advanced uterine prolapse during pregnancy: pre- and postnatal management
  • Autor: Pizzoferrato, A-C ; Bui, C ; Fauconnier, A ; Bader, G
  • Assuntos: Adult ; Cesarean Section ; Delivery, Obstetric ; Dystocia ; Female ; Gestational Age ; Humans ; Perinatal Care ; Pessaries ; Pregnancy ; Pregnancy Complications - therapy ; Uterine Prolapse - surgery ; Uterine Prolapse - therapy
  • É parte de: Gynécologie, obstétrique & fertilité, 2013-07, Vol.41 (7-8), p.467-470
  • Notas: ObjectType-Article-2
    SourceType-Scholarly Journals-1
    ObjectType-Feature-1
    content type line 23
    ObjectType-Report-3
    ObjectType-Case Study-4
  • Descrição: Pelvic organ prolapse is a common pelvic floor disorder in postmenopausal women. The literature is quite poor concerning the management of prolapse during pregnancy in young women. We report the case of a 39-year-old multiparous woman referred for the treatment of an exteriorized uterine prolapse at 13 weeks of gestation. The management of cervical prolapse depends on its stage, its evolution and on gestational age. It combines local antiseptics, rest and manual reintegration or reduction of the prolapsus using a pessary to prevent ulceration of the cervix. In case of stage IV (POP-Q) uterine prolapse, vaginal delivery may be compromised. No recommendation is actually available about route of delivery in case of exteriorized uterine prolapse. It should be clearly discussed regarding the potential risk of cesarean section for dystocia. Surgical repair of the prolapse will be discussed after childbirth according to functional impairment and women's desire for pregnancy.
  • Editor: France
  • Idioma: Francês
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