Occult Cervical Avulsion: A Rare Cause of Intrapartum Vaginal Bleeding

Background. Cervical avulsion, complete or partial, is a rare intrapartum complication that can go unrecognized without proper physician vigilance. Cases. Case 1 is a 32-year-old multiparous woman admitted for induction of labor at 37 2/7 weeks for abnormal antenatal testing. Case 2 is a 22-year-old...

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Main Authors: Charity Hulin, Brennan Lang, Jennifer Stanley, Christina Davidson
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2019/7356150
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author Charity Hulin
Brennan Lang
Jennifer Stanley
Christina Davidson
author_facet Charity Hulin
Brennan Lang
Jennifer Stanley
Christina Davidson
author_sort Charity Hulin
collection DOAJ
description Background. Cervical avulsion, complete or partial, is a rare intrapartum complication that can go unrecognized without proper physician vigilance. Cases. Case 1 is a 32-year-old multiparous woman admitted for induction of labor at 37 2/7 weeks for abnormal antenatal testing. Case 2 is a 22-year-old multiparous woman at 29 0/7 with spontaneous preterm labor 10 days after cerclage removal for preterm contractions. Vaginal bleeding and fetal heart rate decelerations complicated each patient’s intrapartum course. Annular cervical detachment noted at time of delivery resulted in partial or complete amputation of the cervix. Both women recovered well postpartum. Conclusion. This rare phenomenon should be considered in the differential of intrapartum vaginal bleeding to avoid a missed or delayed diagnosis.
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series Case Reports in Obstetrics and Gynecology
spelling doaj-art-d4231b075b7a4ecf96e878960b7cbdb72025-08-20T03:23:47ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922019-01-01201910.1155/2019/73561507356150Occult Cervical Avulsion: A Rare Cause of Intrapartum Vaginal BleedingCharity Hulin0Brennan Lang1Jennifer Stanley2Christina Davidson3Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USADepartment of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USADepartment of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USADepartment of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USABackground. Cervical avulsion, complete or partial, is a rare intrapartum complication that can go unrecognized without proper physician vigilance. Cases. Case 1 is a 32-year-old multiparous woman admitted for induction of labor at 37 2/7 weeks for abnormal antenatal testing. Case 2 is a 22-year-old multiparous woman at 29 0/7 with spontaneous preterm labor 10 days after cerclage removal for preterm contractions. Vaginal bleeding and fetal heart rate decelerations complicated each patient’s intrapartum course. Annular cervical detachment noted at time of delivery resulted in partial or complete amputation of the cervix. Both women recovered well postpartum. Conclusion. This rare phenomenon should be considered in the differential of intrapartum vaginal bleeding to avoid a missed or delayed diagnosis.http://dx.doi.org/10.1155/2019/7356150
spellingShingle Charity Hulin
Brennan Lang
Jennifer Stanley
Christina Davidson
Occult Cervical Avulsion: A Rare Cause of Intrapartum Vaginal Bleeding
Case Reports in Obstetrics and Gynecology
title Occult Cervical Avulsion: A Rare Cause of Intrapartum Vaginal Bleeding
title_full Occult Cervical Avulsion: A Rare Cause of Intrapartum Vaginal Bleeding
title_fullStr Occult Cervical Avulsion: A Rare Cause of Intrapartum Vaginal Bleeding
title_full_unstemmed Occult Cervical Avulsion: A Rare Cause of Intrapartum Vaginal Bleeding
title_short Occult Cervical Avulsion: A Rare Cause of Intrapartum Vaginal Bleeding
title_sort occult cervical avulsion a rare cause of intrapartum vaginal bleeding
url http://dx.doi.org/10.1155/2019/7356150
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