Aim: The aim of this study was to establish influence of cervical deciduosis on pregnancy and time and route of delivery.
Material And Methods: The study included 28 pregnant women with diagnosis of cervical deciduosis. We followed progress of pregnancy, genital bleeding manifestation and time and route of delivery.
Results: We found that 90% of cervical deciduosis cases were diagnosed in the first half of pregnancy. 71.4% were diagnosed after they completed 12 gestational weeks. In case of disruption of deciduosis foci, because of trauma or infection, bleeding occurs. Four of pregnancies were terminated before 28 weeks gestation (14.3%)--two of them miscarriages, one cessation of pregnancy because of polymalformative fetus and one with Cesarean Section. Five of the pregnancies ended in preterm deliveries (17.9%)--three vaginal deliveries and two Cesarean Sections. Nineteen cases ended in term deliveries (67.8%)--seventeen vaginal deliveries and two Cesarean Sections.
Discussion: In cases with cervical deciduosis we found increase in preterm rupture of membranes. For this reason these patients have increased risk for miscarriage and preterm delivery.
Download full-text PDF |
Source |
---|
Cureus
August 2023
Internal Medicine/Family Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Introduction: Deciduosis is an ectopic transformation of connective tissue into decidual-like cells. This is the first systematic review describing the clinical course, associated pregnancy complications, and management outcomes of cervical and vaginal deciduosis.
Methods: Our search covered worldwide observational studies published in English in five databases (PubMed, PubMed Central (PMC), Europe PMC, ScienceDirect, and Google Scholar) from inception to February 24, 2023.
Int J Gynecol Cancer
May 2022
Obstetrics and Gynecology, All India Institute of Medical Sciences Jodhpur, Jodhpur, India.
BMJ Case Rep
March 2022
Department Of Obstetrics And Gynaecology, King George Medical University, Lucknow, Uttar Pradesh, India.
Cervical deciduosis refers to the condition in which ectopic decidual changes take place in the cervix. It is mostly asymptomatic but sometimes may have various clinical presentations. In our case, patient had a rare clinical presentation of cervical deciduosis, in the form of an antepartum haemorrhage at 32 weeks.
View Article and Find Full Text PDFEurasian J Med
June 2021
Department of Obstetrics & Gynaecology, Swami Rama Himalayan University, Dehradun, Uttarakhand, India.
Decidual change is a key process required by the uterus to make itself ready for implantation. Presence of ectopic decidual tissue outside the uterine cavity is known as deciduosis. The clinical presentation can vary from being totally asymptomatic and subtle to presenting in the form of life-threatening emergencies like hemoperitoneum, recurrent pneumothorax, or even bowel perforation.
View Article and Find Full Text PDFCase Rep Womens Health
July 2021
Department of Obstetrics and Gynaecology, Ipswich Hospital, Ipswich, Quensland, Australia.
Introduction: Intrapartum hemorrhage constitutes a life-threatening obstetric complication and can have multiple etiologies. Some rare causes of intrapartum bleeding warrant consideration when assessing these patients. This case study represents one such instance where cervical deciduosis presented with bleeding relatively early in labor and explores the management that followed.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!