Pregnancy and childbirth with genital prolapse

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Abstract

Pelvic organ prolapse is a pathology that extremely worsens the quality of life of a woman at any age. Usually, this pathology is encountered in patients of the older age group, where the correction of the pathology is reduced to improving the quality of life. Other challenges are pelvic organ prolapse in women of reproductive age, and especially in combination with pregnancy. The task of obstetricians and gynecologists in this situation is not only to preserve and prolong pregnancy, to choose an adequate method of delivery that is optimal for the mother and newborn, but also to correct the anatomical location of the genitals, which requires certain surgical skills. The given clinical observation demonstrates the course of pregnancy and childbirth in a patient with pelvic organ prolapse of stage II according to the POP-Q classification, contains brief judgments on the management of pregnancy at the outpatient stage.

About the authors

Olga V. Chechulina

Kazan State Medical Academy – branch of Russian Medical Academy of Continuous Professional Education

Author for correspondence.
Email: chechulina01@gmail.com
ORCID iD: 0000-0001-9378-9888

D. Sci. (Med.), Prof.

Russian Federation, Kazan

Evgenii Iu. Iupatov

Kazan State Medical Academy – branch of Russian Medical Academy of Continuous Professional Education

Email: 557900@mail.ru
ORCID iD: 0000-0001-8945-8912
SPIN-code: 3094-6491

Cand. Sci. (Med.), Assoc. Prof.

Russian Federation, Kazan

Liliia R. Davliatshina

City Clinical Hospital №16

Email: 557900@mail.ru
ORCID iD: 0000-0001-9006-0362
SPIN-code: 5568-7101

deputy Head physician

Russian Federation, Kazan

References

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Data of the visual examination of the patient upon admission to the department of pregnancy pathology

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3. Fig. 2. Fixation of the cervix to the aponeurosis.

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4. Fig. 3. Examination in the operating room after the completion of surgery

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5. Fig. 4. The status of external genitals 2 months after surgical correction.

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