Pregnancy with uterine prolapse: Duhrssen’s incision still valid in today’s scenario?

Background: To study uterine prolapse during pregnancy and its effect on perinatal outcome; importance of Duhrssen incision in aiding vaginal delivery in prolapse. Methods: A retrospective study conducted by reviewing 49 antenatal women with uterine prolapse admitted in the labour room of Department of Obs. & Gynae at G.S.V.M. Medical College, Kanpur over a period of 3 years (2010-13). Results: 17(35.4%) women were booked. 25% of booked antenatal women presenting to our hospital with preterm labour pains managed conservatively. Incidence of preterm labour and delivery, application of Duhrssen’s incision in aiding vaginal delivery and h/o difficult delivery was statistically significant in unbooked women. Conclusion: Preterm labour associated with prolapse led to significant perinatal morbidity and mortality. Management of uterine prolapse during labour is individualized depending on the severity of prolapse, gestational age, parity and women’s preference. [Int J Reprod Contracept Obstet Gynecol 2013; 2(4.000): 586-590]