A lot of new moms aren't aware of the problems of uterine prolapse, the bulging of vaginal anterior and posterior walls, and even don't know that pelvic organs bearing weight during pregnancy will lead to muscle ligament laxity.At the postpartum care center of Roicare Hospital & Clinics, we will provide gynecological examinations for new moms to help them find out such kind of problems.
What consequences will uterine prolapse bring to women?
What consequences will uterine prolapse bring to women?
Uterine prolapse is a gynecological disease that affects the women's quality of life. The uterus descends from the normal position along the vagina, and the external cervical orifice reaches below the level of the ischiadic spine and even the uterus is completely exuded from the vagina. The uterine prolapse is often associated with bulging of the vaginal wall.Because the change of uterine position, women with uterine prolapse will have difficulty in urinating/defecating or even have pelvic infection, accompanied by abdominal bulge and back pain, and some women also have difficulty in sexual intercourse. The exposed cervical and vaginal mucosa has friction with the underwear for long-term so that there will be local ulcer and bleeding and other symptoms. In addition, it will cause difficulties in pregnancy and childbirth.
Why women who have given birth
are more susceptible to uterine prolapse?
Uterine prolapse is a common pelvic floor dysfunction disease. Women with the experience of pregnancy and childbirth are likely to have uterine prolapse, especially for those who have delivered more than 3 times, no matter natural delivery or cesarean section.During pregnancy, the growing of uterus exerts a great pressure to the pelvis, to a certain extent, it will damage the muscles of pelvic floor. After the full-term pregnancy, the muscles and fibers of the pelvic floor will also be damaged, making muscle elasticity and strength weakened. While all the supporting points in the uterus are in the pelvis, it is like a watermelon hanging in a basket, if the basket and rope are not strong enough, the watermelon is easy to gradually fall down. If the support of the pelvic floor muscles decreased, there will be a uterine prolapse.
Does uterine prolapse occur during pregnancy?
Clinically there are cases of uterine prolapse during pregnancy. However, usually in the early stage of pregnancy, doctor can place a pessary to support the entire uterus until the fetus grows five months later. When the uterus has been enlarged, it is impossible for the fetus to "fall" out of the vagina, we can remove the pessary which will not affect fetal development.After giving birth, in order to prevent the uterus prolapse again, it is necessary to have recovery treatment or even surgery on the muscles of pelvic floor.In general, the majority of mild to moderate uterine prolapse can be restored through the pelvic floor recovery and treatment while moderate to severe can only be treated through surgery. If surgery is not allowed, a pessary can be placed and the sooner receiving treatment, the better.
Will there be uterine prolapse
just after giving birth?
Depending on the damage of pelvic floor muscles, the symptoms will be different. Uterine prolapse is a possible result of serious pelvic floor muscle injury.It may occur within a year or two after giving birth, while some women may have it when they reached old age.The initial symptoms of Pelvic floor muscle injury include vaginal relaxation, unsatisfied with sex life or lower abdominal bulge, frequent urination, constipation and so on. If not treated properly, it will gradually develop into urinary incontinence, uterine prolapse, bladder prolapse, rectal prolapse or even fecal incontinence and etc.
How to prevent uterine prolapse,
and how to do Kegel exercise?
Preventive measures include avoid of late marriage and childbirth, and multi-deliveries. Do not take heavy physical activities after delivery and actively do postpartum exercises. Have pelvic floor muscle exercise and treatment as early as possible. Patients with chronic cough should take medical treatment actively. Obese people need to reduce the BMI index, reduce smoking or even give up smoking, reduce or do not drink caffeinated beverages.