Massive vulval oedema is not common during pregnancy, but when it
develops, it often is associated with patient discomfort and management
challenges. Two pregnant women presented to Bugando Medical Centre in
Mwanza, Tanzania, with massive swelling of the vulva at 39 weeks and 32
weeks of gestation. Both women were found to have multiple gestations.
Despite medical management, there was no resolution of the oedema. In
both cases, vulval oedema subsided after being delivered by caesarean
section. Major vulval oedema during pregnancy is a serious issue. If
not treated appropriately, it can lead to major complications of
increased blood loss and poor wound healing. Abdominally delivery is
the preferred mode of delivery at our institution for massive vulval
oedema