Causes of uterine prolapse during normal delivery

No matter which method of delivery is used, it will cause certain harm to the uterus. Uterine prolapse during normal delivery is mostly due to excessive force during delivery, which causes the pelvic bone to deform and cannot recover. In addition, due to incorrect postpartum care methods and reduced exercise, nine out of ten women will suffer from uterine prolapse. Let’s take a closer look at the reasons for uterine prolapse during normal delivery. I hope that expectant mothers can understand it.

1. Causes of uterine prolapse

Uterine prolapse is often caused by birth trauma, vaginal delivery, hysterectomy, and hormone decline in middle-aged and elderly women. During delivery, if you apply force too early when the cervix is ​​not fully dilated, if you fail to repair perineal tears in time, or if you handle dystocia improperly, the vagina will become wider and looser. Overstretching or tearing of the uterine ligaments and pelvic floor tissues weakens their elasticity, causing the pelvic floor tissue supporting the uterus to relax and lose its lifting and supporting functions. Some people also bear weight too early after childbirth, which increases abdominal pressure when the pelvic floor tissue has not returned to normal, which can easily cause uterine prolapse.

Clinical manifestations of uterine prolapse:

2. Lumbar pain

Lumbar pain, especially in the sacrum, is more obvious after work and can be relieved by bed rest. In addition, patients feel a sense of heaviness in the lower abdomen, vagina, and perineum, which is aggravated by fatigue.

3. Vaginal prolapse

Patients with vaginal prolapse reported that a spherical object prolapsed from the vagina, which was more obvious when walking or doing physical labor, and returned to the original position on its own after bed rest. In severe cases of prolapse, the prolapse remains outside all day and cannot be fixed by itself. When walking, the prolapse causes friction with clothes, causing discomfort. Long-term friction may lead to ulcers, infection, increased secretions, and even bleeding. Over time, the local tissue may become thickened and keratinized.

4. Urinary tract symptoms

Urinary tract symptoms: Most patients with uterine prolapse experience a sudden increase in abdominal pressure when they laugh, cough violently, or exert force, causing urinary incontinence and urine overflow. Uterine prolapse is often accompanied by varying degrees of cystocele, but whether stress urinary incontinence occurs depends on whether the anatomical relationship between the bladder and urethra is changed. A small number of patients with uterine prolapse have difficulty urinating, which leads to urinary retention. They need to push the bulging bladder forward with their fingers before they can urinate. The cause is severe cystocele, where the enlarged bladder is located below the urethra.

5. Menstruation

Menstrual changes and excessive leucorrhea are caused by pelvic organ prolapse, which leads to blood circulation disorders and local congestion, affecting normal menstruation and causing excessive menstruation. In addition, due to blood circulation disorders, prolapse of organs may cause ulcers and infections, resulting in increased leucorrhea and bloody secretions. Generally, it does not affect conception, pregnancy and delivery. However, if the uterus prolapses and cannot be reduced, cervical edema may occur after delivery, and the cervix may have difficulty in dilating, leading to dystocia.

VI. Physical signs

The uterus moves downward from the cervix being located in the vagina more than fourteen centimeters away from the hymen to the uterine body being completely protruding out of the vaginal opening. Unreducible uterine prolapse is often accompanied by rectocele, thickening and keratinization of the vaginal mucosa, hypertrophy and elongation of the cervix, and the distance between the vesicouterine fossa and the anterior vaginal fornix is ​​greater than two centimeters and can be as long as four to five centimeters. When severe uterine prolapse is accompanied by bladder prolapse, the transverse groove folds of the vaginal vesica disappear, and the lower limit of the bladder may be longer than the external opening of the cervix. In severe uterine prolapse, the bladder and ureter move downward, forming a positive "△" area with the urethral opening.

The above are the reasons for uterine prolapse during normal delivery. You should know that early uterine prolapse can be treated through training in your daily life. For example, you should pay attention to exercise at ordinary times, especially high leg raising and other movements. When you are free, you can try the aerial bicycle exercise, which is to imitate the movements of riding a bicycle, doing fifty times each morning and evening, which is also helpful for restoring the prolapsed uterus.