During my hospital duty, I encountered a pregnant patient who didn't have an ultrasound but had an X-ray. After conducting an examination, it was evident that the patient had reached full-term pregnancy, but there was no fetal movement and she did not experience any pain. Fetal heart rate monitoring indicated fetal demise. Additionally, the patient emitted a foul smell from her vagina, prompting a vaginal examination. A protruding mass was discovered in the vagina, and when I attempted to remove it, the entire cervix came out. This was a result of infection and necrosis. The patient underwent a completely dilated delivery with an infant presenting head perforation. Pantosyn was administered to the patient, and the infant's skin appeared peeled upon delivery. Antibiotics were prescribed, and no edema or blood pressure abnormalities were observed. The delivery was uneventful
- A case by Dr Veena Srivastav
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Dr. Vanaja Lochana Rapole
Gynaecologist
· Karimnagar
Infection may not be the reason for cervical necrosis,