During a routine examination, a 48-year-old multiparous woman strains maximally and the cervix appears just outside the vaginal introitus. Using the traditional degree classification still used in Indian textbooks, this is:

• A First degree uterine prolapse
• B Procidentia
• C Third degree uterine prolapse
• D Second degree uterine prolapse ✓

Explanation

In the classical degree classification, first degree means the cervix descends below the level of the ischial spines but remains within the vagina, second degree means the cervix protrudes outside the introitus on straining, and third degree means the whole uterus including the body is extruded. Procidentia is another name for complete third degree prolapse, so option B describes the same entity as C and cannot be correct here.

Reference: Dutta's Textbook of Obstetrics and Gynecology, 9th ed.

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Written and medically reviewed by the StethoPrep medical team.