Prolapse in pregnancy: a case report

Sarah Van Der Hock; Ishith Seth; Nipuni Hapangama; Roberto Cuomo; Nita Dhupar

doi:10.18203/2320-1770.ijrcog20243204

Authors

Sarah Van Der Hock University of Melbourne, Victoria, Australia; Western Health, St Albans, Victoria, Australia
Ishith Seth University of Melbourne, Victoria, Australia; Monash University, Victoria, Australia; Department of Surgery, Peninsula Health, Victoria, Australia https://orcid.org/0000-0001-5444-8925
Nipuni Hapangama Department of Obstetrics and Gynaecology, New South Wales, Australia
Roberto Cuomo Department of Medicine, Surgery and Neuroscience, University of Siena, Siena, Italy
Nita Dhupar Department of Obstetrics and Gynaecology, New South Wales, Australia

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20243204

Keywords:

Uterine prolapse, Pregnancy, Pelvic organ prolapse

Abstract

Pelvic organ prolapse in pregnancy is uncommon. It poses unique maternal and foetal risks which must be carefully managed in the antepartum, intrapartum, and post-partum period. This case series and literature review discusses two cases of young female patients without significant risk factors presenting in their third trimester of pregnancy with symptoms of pelvic organ prolapse (POP). Both patients were treated conservatively and went on to have an uncomplicated vaginal delivery at term. These cases highlight the need for routine pelvic floor assessments in the antenatal period to detect the early signs of POP. The ensuing literature review provides updated insights into the predisposing factors, diagnosis, and management of POP, including the importance of managing the psychosocial implications of the condition.

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