title: Extensive cervical prolapse during labor: a case report.
abstract: BACKGROUND
  An extensive, irreducible cervical prolapse during pregnancy is a rare condition and can lead to various complications, including severe cervical edema and dystocia in labor. Treatment options are very limited.
  
  
  METHODS
  A 33-year-old woman with spina bifida and a history of multiple intraabdominal operations and extensive intraperitoneal adhesions was admitted in labor at 36(6/7) weeks' gestation with an irreducible cervical prolapse. The cervical prolapse was reduced by topical application of concentrated magnesium sulfate.
  
  
  CONCLUSIONS
  In active labor, a prolapsed cervix that is enlarged and edematous can be managed with a topical concentrated magnesium solution to prevent cervical dystocia and lacerations.
authors.affiliation: Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics and College of Medicine, 200 Hawkins Drive, Iowa City, IA 52242-1080, USA.
authors.forename: Shannon
authors.initials: S
authors.lastname: Lau
authors.forename: Asha
authors.initials: A
authors.lastname: Rijhsinghani
mesh_terms: D000328:Adult; D004487:Edema / Q000188:drug therapy; D005260:Female; D006801:Humans; D008278:Magnesium Sulfate / Q000627:therapeutic use*; D007744:Obstetric Labor Complications / Q000175:diagnosis*; D011247:Pregnancy; D011256:Pregnancy Outcome; D014596:Uterine Prolapse / Q000150:complications* / Q000188:drug therapy*
chemical_list: D008278:Magnesium Sulfate