title: Successful management of uterine prolapse during pregnancy with vaginal pessary: a case report.
abstract: We present a case of uterine prolapse complicating a second trimester pregnancy which was managed successfully with a vaginal pessary.
  
  
  METHODS
  A 19 year-old primigravid woman referred to the obstetric emergency unit at the 16th week of gestation complaining of uterine prolapse. A silicone ring-shaped middle-size vaginal pessary was placed into the vagina. On each control visit, when the vaginal pessary was removed, the uterine prolapse still persisted until birth. The patient gave birth at 38(th) week by spontaneous vaginal delivery to a healthy baby. After birth, with uterine contractions, uterine prolapse regressed progressively.
  
  
  CONCLUSIONS
  The management and treatment of uterine prolapse in pregnancy should be individualized depending on the patient's preference. A vaginal pessary may be helpful to avoid complications of this condition and should be considered during patient counseling.
authors.affiliation: Dr. Lütfi Kırdar Kartal Education and Research Hospital, Obstetrics Department, İstanbul, Turkey.
authors.forename: Esra Esim
authors.initials: EE
authors.lastname: Büyükbayrak
authors.affiliation: Dr. Lütfi Kırdar Kartal Education and Research Hospital, Obstetrics Department, İstanbul, Turkey.
authors.forename: Gülden
authors.initials: G
authors.lastname: Yılmazer
authors.affiliation: Dr. Lütfi Kırdar Kartal Education and Research Hospital, Obstetrics Department, İstanbul, Turkey.
authors.forename: Ayşe Gül
authors.initials: AG
authors.lastname: Ozyapı
authors.affiliation: Dr. Lütfi Kırdar Kartal Education and Research Hospital, Obstetrics Department, İstanbul, Turkey.
authors.forename: Bülent
authors.initials: B
authors.lastname: Kars
authors.affiliation: Dr. Lütfi Kırdar Kartal Education and Research Hospital, Obstetrics Department, İstanbul, Turkey.
authors.forename: Ayşe Yasemin Karageyim
authors.initials: AY
authors.lastname: Karşıdağ
authors.affiliation: Dr. Lütfi Kırdar Kartal Education and Research Hospital, Obstetrics Department, İstanbul, Turkey.
authors.forename: Cem
authors.initials: C
authors.lastname: Turan
keywords: Uterine prolapse; pregnancy; vaginal pessary