Term Delivery Through Partial Annular Cervical Tear in a Multigravida With History of Genital Prolapse: A Case Report

Injury to the cervix is one of the common complications of pregnancy and delivery, but partial annular tear of the cervix is a rare entity, let alone vaginal delivery through it. A 32 year old second gravida presented to a tertiary care hospital in Haryana, India in early labour. Her intrapartum course was uneventful. Following delivery of the baby and after-births, a third degree prolapse of the cervix was noted along with partial annular cervical tear of about 10cm involving the posterior cervical lip and 2cm away from the external os. There was mild bleeding from the edges of the tear and it was repaired with intermittent simple suture using 2-0 chromic catgut. On further probing, the patient denied any cervical trauma or surgery in the past but she gave history of something coming down per vaginum on straining for the last two years. She had not taken any treatment for the management of prolapse. She was given prophylactic oral antibiotics for 5 days and was advised Kegel's exercise during the postpartum period. On discharge, she was stable, the cervical repair appeared healthy and was asked to follow-up after 6 weeks. This case highlights the possibility of cervical tear in patients having genital prolapse during delivery, rst such being reported.