摘要
Conglutination is one of the rarest disorders encountered during labor. Reported by few authors over the centuries, its diagnosis and management are fraught with pitfalls in terms of the experience of the health-care team and the likely complications of vaginal delivery. We report on a case received at the university clinics in Kinshasa, Democratic Republic of the Congo, where we successfully delivered vaginally. Discussions are not clear-cut as to the preferred route of delivery in cases of external cervical conglutination, but in our context where society is pronatalist and women are unwilling to undergo caesarean section, every intervention [to be] performed should consider the impact of such intervention on the woman’s obstetrical future and the vaginal route should be preferred whenever reasonably possible.
Conglutination is one of the rarest disorders encountered during labor. Reported by few authors over the centuries, its diagnosis and management are fraught with pitfalls in terms of the experience of the health-care team and the likely complications of vaginal delivery. We report on a case received at the university clinics in Kinshasa, Democratic Republic of the Congo, where we successfully delivered vaginally. Discussions are not clear-cut as to the preferred route of delivery in cases of external cervical conglutination, but in our context where society is pronatalist and women are unwilling to undergo caesarean section, every intervention [to be] performed should consider the impact of such intervention on the woman’s obstetrical future and the vaginal route should be preferred whenever reasonably possible.
