scholarly journals Rectal prolapse in pregnancy: a case report

Author(s):  
Isha Sunil ◽  
Manisha Kohli

Rectal prolapse is complete or partial protrusion of rectal tissue through the anus to the exterior of the body. It generally occurs after 60 years of age and is more common in women than men. Here we present a case report of 30 years old G3P1L1A1 with 37 weeks gestation age with complaint of mass protruding per rectum and diagnosed as rectal prolapse which is uncommon during childbearing years. Its management during pregnancy is mostly conservative and definite treatment is deferred until delivery. Rectal prolapse is not a contraindication for vaginal delivery and low outlet forceps deliveries have been mentioned in literature. However, most obstetricians prefer caesarean section to prevent a difficult vaginal delivery and perineal trauma to the patient that could further aggravate rectal prolapse

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Chunyan Zeng ◽  
Feng Yang ◽  
Chunhua Wu ◽  
Junlin Zhu ◽  
Xiaoming Guan ◽  
...  

Uterine prolapse complicating pregnancy is rare. Two cases are presented here: one patient had uterine prolapse at both her second and third pregnancy, and the other developed only once prolapse during pregnancy. This report will analyze etiology, clinical characteristics, complication, and treatment of uterine prolapse in pregnancy. Routine gynecologic examination should be carried out during pregnancy. If uterine prolapse occurred, conservative treatment could be used to prolong the gestational period as far as possible. Vaginal delivery is possible, but caesarean section seems a better alternative when prolapsed uterus cannot resolve during childbirth.


2018 ◽  
Vol 87 (1) ◽  
pp. 36-38
Author(s):  
Azadeh Memarian ◽  
Seyed Hossein Moosavinezhad Baboli ◽  
Nahid Dadashzadeh Asl

Head trauma may occur during delivery and can lead to a number of conditions. When an infant is injured during birth, the cause of injury is generally due to mechanical forces, such as compression, excessive or abnormal traction during delivery, and the use of forceps. A 39-year-old woman who was a primagravida (first pregnancy) with a gestational age of 26 weeks premature pregnancy was referred to a hospital in Tehran due to premature rupture of membranes (PROM) and fever. She arrived 2 h after rupture (noting that the rupture lasted for one week and then the baby was delivered). Antibiotics were given early on. After weak labour pain, vaginal examination revealed that the cervix was fully dilated and one of the feet of the foetus had come out of the cervix and was seen in the vagina. The foetus had died. The delivery staff used traction with force. Due to the age of the foetus, the head was relatively big and could not be delivered; the neck was thin and broken and the head separated from the body. The mother underwent a caesarean section to deliver the head of the foetus a week after PROM. The father of the dead newborn foetus sued the hospital and the staff responsible for the delivery. When medical professionals damage the trust between patients and their families and babies are injured children, they should be held accountable.


2020 ◽  
Vol 7 (9) ◽  
Author(s):  
Grace A Maldarelli ◽  
Megan Savage ◽  
Shawn Mazur ◽  
Corrina Oxford-Horrey ◽  
Mirella Salvatore ◽  
...  

Abstract We report a case of COVID-19 in third-trimester pregnancy, who required support in an intensive care unit and received remdesivir. After discharge, she had an uncomplicated vaginal delivery at term. COVID-19 in pregnancy may be managed without emergent delivery; a multispecialty team is critical in caring for these patients.


2012 ◽  
Vol 34 (11) ◽  
pp. 1073-1076 ◽  
Author(s):  
Gabriella Martillotti ◽  
Mario Talajic ◽  
Eveline Rey ◽  
Line Leduc

2016 ◽  
Vol 9 (2) ◽  
pp. 78-82
Author(s):  
NM Murphy ◽  
AS Khashan ◽  
DI Broadhurst ◽  
O Gilligan ◽  
K O’Donoghue ◽  
...  

Background To examine perinatal determinants of the antenatal levels of D-dimers. Methods Cross-sectional study of 760 low risk pregnant women recruited into five gestational groups. Variables examined in antenatal groups included maternal age, body mass index, parity, smoking, family history venous thromboembolism (VTE) and previous use of the oral contraceptive pill (OCP). Onset of labour and mode of delivery were also examined in the post-natal group. Results D-dimer levels in group 4 (38–40 + 6) were significantly lower in the women with a history of taking the OCP when compared to those that had not taken it in the past ( P = 0.027). In the day 2 post-natal group, the median level of D-dimer was significantly higher in primparous when compared to multiparous women ( P = 0.015). The median D-dimer levels were significantly lower in the elective Caesarean section group in comparison to spontaneous onset ( P = 0.003) and induction of labour ( P = 0.016). When the mode of delivery was examined, the median D-dimer levels were significantly lower in those that had an elective Caesarean section when compared to normal vaginal delivery ( P = 0.008) and instrumental vaginal delivery ( P = 0.007). Women post elective Caesarean section had a significantly lower D-dimer than those after emergency Caesarean section ( P = 0.008). Discussion There are some significant differences in D-dimer levels when certain perinatal determinants are examined. This work is potentially beneficial to the future diagnosis of VTE in pregnancy as it supports previously published recommended D-dimer levels for the diagnosis of VTE in pregnancy.


Author(s):  
Pusparajah Priyia ◽  
Joanna Xuan Hui Goh ◽  
Learn-Han Han ◽  
Prithvy Lingham

We present a case of a 28-year-old primigravida who was diagnosed with hand, foot and mouth disease (HFMD) at 39 weeks gestation. Patient had the classical rash over her hands and feet but was otherwise well. The baby was delivered at 40 weeks via Caesarean section and was well after delivery. We discuss the literature associated with hand, foot and mouth disease in pregnancy as well as briefly discuss complications associated with the causative organisms of HFMD.


2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Olivier Mulisya ◽  
Mbusa Mastaki ◽  
Tambavira Gertrude ◽  
Kyakimwa Tasi ◽  
Jeff K. Mathe

Spontaneous massive vulvar edema in pregnancy is unusual and a cause for concern. This condition should be taken seriously since it might be caused by some conditions such as preeclampsia, diabetes, vulvovaginitis, severe anemia, and neoplasms. We report a case of massive vulvar edema in a 15-year-old primigravida following tocolysis therapy at 33 weeks of gestation. Other causes of vulvar edema were excluded. The vulvar edema appeared spontaneously after tocolysis and rapidly increased in size, associated with severe vulvar pains. The vulvar edema resolved progressively with antibiotics, corticoids, and analgesics. The patient delivered by spontaneous vaginal delivery a term live newborn with an unremarkable postpartum period. The aim of this report is to alert clinicians that conservative attempts could be considered for vulvar edema complicating tocolysis.


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