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Uterine prolapse during late pregnancy in a nulliparous woman

机译:未产妇妊娠晚期子宫脱垂

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A pregnancy that is complicated by a uterine prolapse is rare and primarily occurs in multiparous women during their first or second trimester. In the present report, we describe a case of a 31-year-old nulliparous woman who experienced sudden uterine prolapse at 38 weeks' gestation without labor pains. The cervix was congested, the cervical mucosa was partially lacerated, and bleeding was noted; the protruding cervix could not be repositioned into her vagina. Although the cervical congestion worsened over time, she still did not experience any labor pains. She was delivered by emergency cesarean section. Following delivery, the prolapse promptly improved and did not recur before her 1-month postpartum examination. To our knowledge, this is the first case where uterine prolapse occurred in a nulliparous woman during late gestation.
机译:并发子宫脱垂的妊娠很少见,主要发生在多胎妇女的孕早期或孕中期。在本报告中,我们描述了一个31岁的未产妇妇女的案例,该妇女在妊娠38周时突然子宫脱垂,没有分娩痛。子宫颈充血,宫颈粘膜部分裂伤,并有出血迹象。突出的子宫颈无法重新定位到她的阴道中。尽管宫颈充血随着时间的推移而恶化,但她仍未经历任何分娩痛苦。她被紧急剖宫产。分娩后,脱垂迅速改善,在产后1个月检查前没有复发。据我们所知,这是第一例在妊娠后期未产妇发生子宫脱垂的情况。

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