Conclusion. Our case shows that pregnancy during uterine prolapse
is possible
and that careful assessment is required to prevent complications during delivery. According to our experience, an elective caesarean section near term could be the safest mode of delivery.
How does a prolapsed uterus affect pregnancy?
Uterine prolapse in pregnancy can cause antepartum, intrapartum, and puerperal complication. Antepartum complications include preterm labor, abortion, urinary tract infection, acute urinary retention, and even
maternal death
.
Can uterus prolapse cause miscarriage?
Uterine prolapse is a common condition in elderly females. However, uterine prolapse during pregnancy is rare, with an incidence of 1 per 10,000 to 15,000 deliveries [
1
]. It can cause preterm labor,
spontaneous abortion, fetal demise
, maternal urinary complications, maternal sepsis, and death [
2
].
How serious is a prolapsed uterus?
A
prolapse is not life threatening
, but it can cause pain and discomfort. Symptoms can usually be improved with pelvic floor exercises and lifestyle changes, but sometimes medical treatment is needed.
Is it easier to get pregnant with a prolapsed uterus?
The short answer is
no
. PFD does not seem to be a cause of infertility. However, because PFD is associated with difficulties in sexual function, it could indirectly make it more difficult to conceive naturally, by making intercourse unpleasant or even painful.
What happens if prolapse is left untreated?
If prolapse is left untreated, over time it may stay the same or slowly get worse. In rare cases, severe prolapse can
cause obstruction of the kidneys or urinary retention
(inability to pass urine). This may lead to kidney damage or infection.
Will my prolapse get worse if I have another baby?
Studies have shown that women who have never had babies have prolapse alongside women who have had multiple babies with minimal to no prolapse. “Certainly, have as many babies as makes sense for you, your family and your life, but not so much based on your pelvic floor,” she says.
Can I push my prolapse back up?
In some cases, the prolapse can be treated at home. Follow your provider’s instructions on how to do this.
The rectum must be pushed back inside manually
. A soft, warm, wet cloth is used to apply gentle pressure to the mass to push it back through the anal opening.
Can you feel a prolapsed uterus with your finger?
Insert 1 or 2 fingers and place over the front vaginal wall (facing the bladder) to feel any bulging under your fingers, first with strong coughing and then with sustained bearing down. A definite bulge of the wall under your fingers indicates a front vaginal wall prolapse.
What should you not do with a prolapse?
If you have pelvic organ prolapse,
avoid things that could make it worse
. That means don’t lift, strain, or pull. If possible, try not to be on your feet for long periods of time. Some women find that they feel more pressure when they stand a lot.
Can a dog give birth with a prolapsed uterus?
Dogs with vaginal prolapse/hyperplasia
must not be used for breeding as the problem can be passed to the offspring
. Artificial insemination can be utilised if the bitch is considered valuable and will not allow intromission. Desexing is recommended to prevent the recurrence and subsequent injury to the everted tissue.
How do you fix a prolapse without surgery?
The two non-surgical options for prolapse are
pelvic floor muscle training (PFMT) and a vaginal pessary
. PFMT can be effective for mild prolapse but is usually not successful for moderate and advanced prolapse. The main alternative to surgery for prolapse is a vaginal pessary.
Will I need ac section if I have a prolapse?
While women who give birth via vaginal delivery also may have a slight increased risk,
I do not think there is any reason for you to consider
a cesarean section because you are experiencing symptoms of prolapse. It is likely that many of your symptoms will improve after delivery.
When should you have surgery for prolapse?
Consider surgery if
the prolapse is causing pain
, if you are having problems with your bladder and bowels, or if the prolapse is making it hard for you to do activities you enjoy. An organ can prolapse again after surgery. Surgery in one part of your pelvis can make a prolapse in another part worse.
Can a prolapsed bladder go back into place?
Prolapsed organs
cannot heal themselves
, and most worsen over time. Several treatments are available to correct a prolapsed bladder.
How do I know if my prolapse is severe?
- Sensation of heaviness or pulling in your pelvis.
- Tissue protruding from your vagina.
- Urinary problems, such as urine leakage (incontinence) or urine retention.
- Trouble having a bowel movement.
