Successful management of uterine prolapse during pregnancy with vaginal pessary: a case report

We present a case of uterine prolapse complicating a second trimester pregnancy which was managed successfully with a vaginal pessary.Case: A 19 year-old primigravid woman referred to the obstetric emergency unit at the 16th week of gestation complaining of uterine prolapse. A silicone ring-shaped middle-size vaginal pessary was placed into the vagina. On each control visit, when the vaginal pessary was removed , the uterine prolapse still persisted until birth. The patient gave birth at 38th week by spontaneous vaginal delivery to a healthy baby. After birth, with uterine contractions, uterine prolapse regressed progressively.Conclusion: The management and treatment of uterine prolapse in pregnancy should be individualized depending on the patient’s preference. A vaginal pessary may be helpful to avoid complications of this condition and should be considered during patient counseling.