Cervical Stenosis following a Laser Cone Biopsy – An Uncommon Presentation in Labour
Dr. Raja Appireddyhalli Munireddy
Senior Registrar, Department of Obstetrics and Gynaecology,
23, R.M.S Layout, Near Sanjaynagar Post Office, Sanjaynagar,
Bangalore, Karnataka, 560094, India.
Cervical stenosis following a laser cone biopsy is an uncommon presentation in labour. A 33 year old woman conceived naturally, 6 years after undergoing a laser cone biopsy of the cervix. She had an uneventful pregnancy. She presented to the delivery suite at 39 weeks of pregnancy in early labour, with a spontaneous rupture of the membranes. The labour failed to progress despite her having adequate uterine contractions and the syntocinon infusion. She was found to have a scarred, stenosed cervix and no cervical opening was seen. She delivered by emergency Caesarean section with the creation of a cervical opening for the lochia to drain. The patient had an uncomplicated post-operative period. She was reviewed six weeks after her delivery. The abdominal wound had healed well and the speculum vaginal examination revealed a short scarred cervix which had healed well and had a visible opening.