Primigravida in Labour Following Spontaneous Pregnancy with Microperforated Hymen: Concomitant Emergency Caeserean Section and Hymenectomy. A Rare Case Report.

Abstract

Microperforated (pinhole) hymen is considered a rare anomaly of the female genital tract with considerable untoward consequences on the quality of life. This is a case report of a primigravida with spontaneous pregnancy who presented following referral from primary health centre where she was receiving her prenatal care at term in labour on account of absence of vagina opening. Pelvic examination revealed micro-perforated hymen. She had simultaneous emergency caeserean section and hymenectomy done after counselling and informed consent. Her immediate post-operative care and followed up at the post natal clinic were satisfactory with subsequent penetrative vaginal intercourse without discomfort. It was concluded that proper and detailed pelvic examination should be done for every pregnant women at booking clinic to detect any possible anomaly of the external genitalia. Also, simultaneous caeserean section and hymenectomy is safe, reduces cost and improves quality of life.