Alternatives to management of cervical prolapse in labor




I read with interest the publication by Sit and Fu, who successfully treated their patient with cervical prolapse and achieved vaginal delivery. Variability in evaluation of the patients with cervical prolapse in labor is seen often, depending on the cause. Significant edematous prolapse often cannot be reduced and leads to a cesarean section delivery. Local magnesium sulfate compresses help in the reduction of this edematous cervix, which leads to successful spontaneous vaginal delivery. In extreme cases, when a patient arrives in advanced labor with no anesthesia on board and with the fetal head in the cervix, yet almost outside the vagina or extrapelvic, the infant could be delivered expeditiously by a Dührssen’s incision between a ring forceps that is applied on the cervix on either side of the incision. This incision could be a last resort that is preceded by local magnesium sulfate compression to reduce the edematous cervix and to glide it over the fetal head. This management is a way out in developing countries with limited resources.


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Jul 7, 2017 | Posted by in GYNECOLOGY | Comments Off on Alternatives to management of cervical prolapse in labor

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