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Archives of Gynecology and Obstetrics

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11-03-2022 | Preterm Labor | Maternal-Fetal Medicine

Postpartum Group A strep sepsis after third trimester uterine prolapse: case report and literature review

Authors: Simone Reaves, Vaishali Mehta, Jason K. Baxter, Reneita Ross

Published in: Archives of Gynecology and Obstetrics | Issue 6/2022

Abstract

Introduction

Uterine prolapse in pregnancy is an uncommon occurrence that can lead to a wide spectrum of complications. Postpartum Group A Streptococcus (GAS) endometritis is a rare but life-threatening condition. Our aim was to review the literature regarding management of prolapse in pregnancy and maternal infection as a rare complication.

Methods and results

We present a case of uterine prolapse with cervical elongation presenting in the third trimester. The patient’s prolapse was refractory to pessary management. She was induced at 36 weeks due to an abnormal fetal heart tracing and had an uncomplicated vaginal delivery. Her postpartum course was complicated by GAS endometritis and septic shock. She recovered after antibiotic therapy and her prolapse did not recur postpartum.

Conclusion

Prolapse during pregnancy carries a risk of several complications but does not preclude a vaginal delivery. Management must be patient-centered and individualized. GAS sepsis is a potential, rare, and life-threatening postpartum complication requiring swift identification and treatment.

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Title: Postpartum Group A strep sepsis after third trimester uterine prolapse: case report and literature review
Authors: Simone Reaves
Vaishali Mehta
Jason K. Baxter
Reneita Ross
Publication date: 11-03-2022
Publisher: Springer Berlin Heidelberg
Keywords: Preterm Labor
Septicemia
Septicemia
Uterine Prolapse
Antibiotic
Septic Shock
Published in: Archives of Gynecology and Obstetrics / Issue 6/2022
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-022-06483-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Postpartum Group A strep sepsis after third trimester uterine prolapse: case report and literature review

Abstract

Introduction

Methods and results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods and results

Conclusion

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