ABSTRACT

We present a case of uterine prolapse complicating a second trimester pregnancy which was managed successfully with a vaginal pessary. Case: A 19 year-old primigravid woman referred to the obstetric emergency unit at the 16th week of gestation complaining of uterine prolapse. A silicone ring-shaped middle-size vaginal pessary was placed into the vagina. On each control visit, when the vaginal pessary was removed, the uterine prolapse still persisted until birth. The patient gave birth at 38th week by spontaneous vaginal delivery to a healthy baby. After birth, with uterine contractions, uterine prolapse regressed progressively. Conclusion: The management and treatment of uterine prolapse in pregnancy should be individualized depending on the patient’s preference. A vaginal pessary may be helpful to avoid complications of this condition and should be considered during patient counseling.

Keywords: Uterine prolapse, pregnancy, vaginal pessary