Clinical experiences of uterine prolapse occurring during pregnancy in two case reports

Prolapse is more common in older women. Uterine prolapse during pregnancy is a very rare condition but causes complications to both the mother and the fetus. Complications that arise vary from minor complaints such as discomfort, pain, infection, preterm labor, to obstructed labor which can cause maternal and fetal death. We report 2 cases- woman who is pregnant but is suffering from uterine prolapse. The first case, a 29-year-old woman, gravida 2 para 1 with grade 3 uterine prolapse, grade 3 cystocele, grade 3 rectocele, and cervical elongation, was first diagnosed at 24 weeks gestation. Her first pregnancy was born vaginally and weighed 3500 grams. This second pregnancy ended in a cesarean section at 36/37 weeks due to the long labor process, which may be due to cervical lengthening. In the second case, a 33-year-old woman, gravida 3 para 2 with grade 1 uterine prolapse and grade 2 rectocele was detected for the first time 3 years before pregnancy. Her first pregnancy was born vaginally and weighed 3500 grams, and the second pregnancy gave birth by an emergency cesarean section with a baby weight of 3100 grams. This third pregnancy ended abdominal at 40/41 weeks due to PROM and previous cesarean section. In both cases, no severe complications were found during the antenatal and puerperal periods in the case but early diagnosis and detection of possible complications are essential to achieve a good outcome. The management of each patient depends on the complications and patient condition.