Salvage from cervical dystocia in third degree uterovaginal prolapse: Duhrssen's incision. (14th February 2018)

• Record Type: Journal Article
• Authors: Verma, Manju Lata; Tripathi, Vartika; Singh, Uma; Rahman, Zakia
• Is Part Of: BMJ case reports. Volume 2018
• Publication Date: 2018-02-14
• Subjects: obstetrics, gynaecology and fertility -- pregnancy -- obstetrics and gynaecology; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2017-223821
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : We present a case of a 28-year-old woman second gravida with a full-term pregnancy who presented to us in active phase of labour with third degree uterovaginal prolapse complicated by entrapment of fetal head by dystocia of cervix and fetal distress. Patient was immediately shifted to the operation theatre and prompt delivery was conducted by giving Duhrssen's incision on the highly vascular, oedematous prolapsed cervix. The outcome was an alive and healthy male baby. Duhrssen's incision was stitched with minimal blood loss. Postnatal management included antibiotics and daily intravaginal packing. Patient was discharged along with the baby in satisfactory condition.