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Title: A RARE CASE OF THIRD-DEGREE UTEROVAGINAL PROLAPSE IN THE THIRD TRIMESTER OF PREGNANCY WITH INTRAUTERINE FETAL DEMISE: EMERGENCY MANAGEMENT AND POSTPARTUM CARE
e-poster Number: EP 015
Category: Miscellaneous
Author Name: Dr. Ankita Mishra
Institute: SCB medical College and hospital
Co-Author Name:
Abstract :
Introduction
The estimated incidence of UV Prolapse in late trimester of pregnancy is about 1 per 10,000-15,000 deliveries worldwide. Fewer than 300 cases have been reported in literature with less than 10 cases reported during the last decade.
Aims & Objectives
This report aims to document a rare case of third-degree uterovaginal prolapse with intrauterine fetal demise, examining emergency prompt and comprehensive management techniques and postpartum strategies to improve outcomes in similar future cases.
Materials & Methods
A 30year-old multiparous woman presented in 3rd trimester with third-degree uterovaginal prolapse and intrauterine fetal demise. After initial stabilization, the prolapse which was congested , foul smelling with ulceration & the size of an average fetal head couldn't be reduced and Given the patient?s clinical condition a mid uterine C section was planned with intensive monitoring and supportive measures. Postpartum care focused on infection prevention, uterine repositioning, and pelvic floor rehabilitation, with follow-up counseling.
Results
The patient achieved a c section with minimal complications. Postpartum management involved successful uterine repositioning and infection prevention measures. Pelvic floor exercises and rehabilitation were initiated early, with continuous support provided. Follow-up assessments indicated positive maternal recovery, with the patient counseled on future pregnancy risks.
Conclusions
Third-degree uterovaginal prolapse in the third trimester, particularly with fetal demise, is challenging but manageable with a tailored, multidisciplinary approach. This case highlights the importance of the basic minimal antenatal care lacking in underprivileged society, prompt prolapse reduction, infection control, and structured postpartum care to optimize maternal outcomes in similar cases.
