• Xiaoyue Yang and Tongfu Feng.
• Department of Ministry of Medicine, Medical College of Wuhan University of Science and Technology, Wuhan, Hubei Province, China.
• Medicine (Baltimore). 2024 Feb 16; 103 (7): e37202e37202.

BackgroundUterine prolapse is a rare complication of pregnancy, and there is still no consensus on the choice of delivery method.MethodsThe patient's reproductive history included an abortion and eutocic delivery of a girl weighing 3200 g; the current pregnancy was the third pregnancy. Her cervical region was outside the vaginal opening and was red in color, with evident enlargement (6 × 4 cm) and a broken surface. The cervical area also showed white discharge. According to her Transvaginal ultrasonography revealed a fetus in the uterine cavity at approximately 19 weeks of gestation. Gynecological examination revealed prolapse of both the anterior and posterior vaginal walls. Evaluation of the pelvic organ prolapse-Q scores showed that the patient had uterine prolapse at stage IV.ResultsVaginal delivery was performed smoothly after oral administration mifepristone and misoprostol tablets for a few days, obtaining a dead female fetus in cephalic, 25 cm in length. The cervix of the pregnant woman did not prolapse during the delivery.ConclusionFor pregnancy with uterine prolapse and cervical incarceration, transvaginal delivery is a potential treatment option. Maintenance of cervical retraction and oral mifepristone administration with misoprostol tablets is crucial during this delivery. This treatment can minimize the risk of cervical lacerations and uterine rupture, helping surgeons to complete the operation successfully.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

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