Managementand Characteristicsof Pregnancyand Deliverywith GenitalProlapse (Clinical Case)

Abstract

Pelvic floor dysfunction is one of the most pressing issues in the health and quality of life of women.Pelvic prolapseoccurs in 30-50% of women who have given birth. And although this pathology is notlife-threatening, it significantly complicates a woman's normal life. Genital prolapse (GP) occurs dueto lack of pelvic floor support function. It should be noted that thestructures of the pelvic diaphragmare under the influence of dynamic load, resulting in easy rupture of ligaments. However, today it isknown that not only mechanical damage is the cause of pelvic organ failure. Many studies have shownthat in women withprolapse, the concentration of collagen is reduced or its defective forms aredetected, due, in particular, to metabolic disorders and the ratio of ionized forms of magnesium andcalcium in the direction of the latter. The article presents modern literature data on the peculiarities ofpregnancy and childbirth of women with genital prolapse. An example is a clinical case of a pregnantwoman with this complication. A clinical case with grade III GP and manadgment using obstetricperforated pessary, magnesium and progesterone and proved the possibility of vaginal delivery in thispathology.