Integrated management of uterine prolapse during pregnancy: Case report and literature review of successful term delivery following cervical cerclage and pessary utilization.

Taiwan J Obstet GynecolOct 30, 2026
Case ReportObstetrics & Gynecology

Tsung-Yi Tzang, Jui-Der Liou, Cheng-Yu Ho

✦ AI-curated · Sources linked

Case in brief

A 43-year-old woman with recurrent pregnancy losses, including a second-trimester loss attributed to cervical incompetence, presented at 11 weeks’ gestation with stage III uterine prolapse. A prophylactic McDonald cerclage was placed at 12 weeks, followed by use of a ring pessary and vaginal progesterone. The pregnancy reached term, with vaginal delivery at 38 + 5 weeks of a 2790 g infant with an Apgar score of 9/9.

What made this case unusual

The case combined stage III uterine prolapse and a history of cervical incompetence in early pregnancy; management with both cerclage and a ring pessary was followed by term vaginal delivery.

Diagnostic / clinical pearl

In this case, uterine prolapse with a history of cervical incompetence was managed using cerclage alongside a ring pessary and vaginal progesterone, with pregnancy reaching term.

Source

PubMed · PMID 42951475

Published in Taiwan J Obstet Gynecol. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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