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Case 88 - A 25-Year-Old at 13 Weeks’ Gestation Presents with Vaginal Spotting

from Section 10 - Complications of the Cord, Amnion, and Gravid Uterus

Published online by Cambridge University Press:  08 April 2025

Peter F. Schnatz
Affiliation:
The Reading Hospital, Pennsylvania
D. Yvette LaCoursiere
Affiliation:
University of California, San Diego
Christopher M. Morosky
Affiliation:
University of Connecticut School of Medicine
Jonathan Schaffir
Affiliation:
The Ohio State University College of Medicine
Vanessa Torbenson
Affiliation:
Mayo Clinic Alix School of Medicine
David Chelmow
Affiliation:
Virginia Commonwealth School of Medicine
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Summary

Cervical and endometrial polyps are benign masses that can cause abnormal uterine bleeding. In this case we discuss the etiology of these polyps and how they may be approached in pregnancy. Polyps are present in 2–5% of the general population. In pregnancy, polyps and their removal have been associated with vaginal bleeding and preterm labor. Management of polyps found during pregnancy is based on the presence or absence of symptoms and the site of origin of the polyp. Removal of decidual polyps are more likely to lead to complications such as preterm labor compared to those polyps that arise from the cervix. Ultrasound may help to distinguish the origin of symptomatic polyps to determine patient counseling and management.

Type
Chapter
Information
Pregnancy Complications
A Case-Based Approach
, pp. 275 - 277
Publisher: Cambridge University Press
Print publication year: 2025

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References

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American Association of Gynecologic Laparoscopists. AAGL Practice Report: Practice Guidelines for the Diagnosis and Management of Endometrial Polyps. J Minim Invasive Gynecol. 2012;19(1):310.CrossRefGoogle Scholar
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Fukuta, K, Yoneda, S, Yoneda, N, et al. Risk Factors for Spontaneous Miscarriage above 12 Weeks or Premature Delivery in Patients Undergoing Cervical Polypectomy during Pregnancy. BMC Pregnancy Childbirth. 2020;20(1):27.Google ScholarPubMed
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