Is cesarean hysterectomy justified in the management of uterine prolapse complıcating pregnancy at term? A case report

Amaç

 

Uterine prolapse complicating pregnancy is very rare.

Olgu

A 30-year-old woman, gravida 6, para 5, presented with subtotal uterine prolapse and uterine contractions on the 36th week of gestation. Sonography revealed a single fetus with vertex presentation with an estimated fetal body weight of 2400 g. Collum uteri was totally prolapsed and edematous. A cardiotocography revealed regular uterine contractions and a normal fetal heart rate pattern. As the labor was obstructed, a cesarean delivery was decided. The woman gave an informed consent, and a cesarean hysterectomy was performed. The postoperative period was uneventful.

Sonuç

 Cesarean hysterectomy might be a therapeutic option for women undesiring fertility with uterine prolapse complicating pregnancy at term.