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Prolapse of the uterus associated with pregnancy

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      Abstract

      Four cases of prolapse of the uterus associated with pregnancy are presented. These occurred among 16,542 obstetrical admissions at the University Hospitals, Iowa City, Iowa, between July, 1940, and January, 1956.
      Eighteen other cases occurring in the same years were collected from the literature.
      In recent years, there has been a shift toward conservative treatment. Pessaries, bed rest, vaginal packs, and perineal pads were the treatments of choice.
      The frequency of abortion was much less than previously reported.
      There were no maternal deaths reported. The fetal death rate was quite low. The puerperium was normal in all cases; there was no puerperal morbidity or other complications. One may attribute this improvement to the advent and use of antibiotics and the conservative treatment used by different authors.
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