Consultation with OB/GYN upon diagnosis
Bladder decompression
Insertion of indwelling Foley Catheter
Pelvic exam to confirm diagnosis
Acute anterior angulation of vagina
Cervix positioned behind the pubic symphysis
Fundus not palpable abdominally
Insertion of indwelling Foley Catheter
Acute anterior angulation of vagina
Cervix positioned behind the pubic symphysis
Fundus not palpable abdominally
Next steps are performed to achieve reduction of<unk>  by external/internal manipulation and should be performed with OB/GYN consultation
Patient position
Knee-chest or all fours
Manual reduction
Ensure bladder fully void
Vaginal examination with or without anesthesia
Colonoscopic
Gas insufflation of colon under anesthesia
Other
Amnioreduction
Surgical exploration through laparotomy
Knee-chest or all fours
Ensure bladder fully void
Vaginal examination with or without anesthesia
Gas insufflation of colon under anesthesia
Amnioreduction
Surgical exploration through laparotomy
C-section
Risk of uterine rupture if allowed to labor
Maternal
Acute renal failure
Severe hypertension resistant to medications
Lower limb edema
Uterine ischemia
Sepsis
DVT, Post-partum PE
Fetal
Premature labor
Fetal mortality rate 33% (Gibbons and Paley)
Acute renal failure
Severe hypertension resistant to medications
Lower limb edema
Uterine ischemia
Sepsis
DVT, Post-partum PE
Premature labor
Fetal mortality rate 33% (Gibbons and Paley)
Incarcerated uterus
The same abdominal pain differential as non-pregnant patients, plus:
Vaginal foreign body
Ectopic pregnancy
Tubo-ovarian abscess
First trimester abortion
Testicular trauma
Complete abortion