Utero-vaginal prolapse complicating pregnancy: a case report.

BACKGROUND: Uterovaginal prolapse in pregnancy is an infrequent but potentially harmful condition when not properly handled. There is no standard guideline on its management; however discretion is used to treat individual case on its merit. Vaginal delivery is possible but elective caesarean section seems a better alternative.

METHOD: We present the case records of 24 year old Gravid 2 Para 1 + 0 (alive) who presented in labour with a second degree uterovaginal prolapse at term. Literature review using medline and manual library search was done.

RESULT: She tested positive to HIV I and II: and had emergency caesarean section for dystocia with the delivery of a live 3.5kg female baby. She was managed conservatively on bed rest, local antiseptics and physiotherapy. She was however lost to follow up.

CONCLUSION: Uterovaginal prolapsed in pregnancy is rare. Opinion is divided on delivery options but most are agreed on caesarean delivery and conservative follow up post partum. Prevention of pelvic organ prolapsed through antenatal care, supervised delivery, physiotherapy and fertility regulation remains key to favourable out-come.