Objective: To analyse the clinical manifestation and treatment of obstructive dystocia due to cervical adhesion.
Method: Ten cases of obstructive dystocia due to cervical adhesion were retrospectively analysed.
Results: Gram's stain of the cervical smear was positive for gonococci in all of the 10 patients. Sites of the cervical adhesion were at external os in 5 cases, at internal os in 2 cases and in cervical canal in the other 3. The clinical manifestation varied with the site of the cervical adhesion. All the patients had spontaneous delivery after separating the adhesions.
Conclusion: As one of the factors of high-risk pregnancy, obstructive dystocia due to cervical adhesion caused by gonococcal infection should be considered seriously by the obstetricians.
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