Postpartum cervical prolapses preceded by precipitated labour

Excerpt

Precipitated labour is diagnosed when the total duration of labour takes less than 3 h [1‐3]. Although the exact prevalence of precipitated labour is not known, it is estimated to be about 2 % of the total deliveries [4, 5]. Precipitated labour is known to risk the baby for birth injuries, and the mother to genital lacerations and postpartum haemorrhage [3, 6, 7]. A comparative study had shown that placental abruption, fertility treatments, chronic hypertension, intrauterine growth restriction, prostaglandin E2 induction, birth weight <2,500 g and nulliparity were independent risk factors for precipitated labor [8]. In another study, precipitated labour was found to be associated with placental abruption, uterine tachysystole, and recent maternal cocaine use [9]. Why labor progress precipitated in some women is not exactly known? Abnormally strong uterine contraction and loose resistance of the soft tissues of the birth canal were some of the attributed factors [3, 7]. However, most authors pointed out that precipitated labour is not well studied [2, 3, 6‐10]. …