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cervical prolapse

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Chapter 6 - Vaginal Prolapse and Previous Prolapse Surgery
- By Swati Jha
Edited by Swati Jha, Sheffield Teaching Hospital NHS Foundation Trust, Priya Madhuvrata, Sheffield Teaching Hospital NHS Foundation Trust
Book:

Gynaecology for the Obstetrician

Published online:

14 July 2023

Print publication:

03 August 2023, pp 50-60
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Summary

Pelvic organ prolapse is a common gynaecological problem and often requires surgical management. It is therefore inevitable that vaginal prolapse will also be encountered in pregnancy. Antepartum prolapse is managed conservatively with pessaries and physiotherapy, though occasionally more active surgical intervention will be required. Intrapartum complications in women going into labour with a prolapse are uncommon, however may occur and the commonest problems encountered are cervical dystocia and cervical lacerations. Mode of delivery remains controversial. Women usually have a recurrence of prolapse post-natally and treatment needs to be tailored to patient preferences.