Symptoms of vaginal wall bulging during normal delivery

There has always been a debate about natural birth and caesarean section. The older generation advocates natural birth, saying that it is good for the child and the adult recovers faster, while young people of the new era prefer caesarean section. In fact, natural childbirth is the most natural way of delivery, but it also has many sequelae. The most serious one is the vaginal wall prolapse we are going to talk about today. It has an important impact on women’s own health and the life between couples. Let’s take a look at its main symptoms.

Symptoms of postpartum vaginal wall bulging are as follows :

1. Patients with vaginal wall prolapse experience the above symptoms because when the bladder prolapses, an angle forms between the bladder and the urethra, which affects urine excretion, and the increased abdominal pressure aggravates the prolapse. If there is urinary retention, cystitis often occurs; injury to the pubourethral ligament can cause urethral prolapse, which may lead to stress urinary incontinence; severe prolapse of the anterior vaginal wall is often accompanied by grade I uterine prolapse.

2. Mothers with milder symptoms may have no symptoms or feel a bulge in the vagina. Those with severe symptoms may feel a falling sensation. The bulge increases when tired or exerts force, and urination becomes difficult gradually. Sometimes they cannot even urinate and have to push the bulge back into the vagina by hand in order to discharge urine.

1. Pelvic floor muscle training

The method is to tighten the anus, tighten it for at least 3 seconds each time, and then relax. Do it continuously for 15 to 30 minutes, 2 to 3 times a day; or do pelvic floor muscle training 150 to 200 times a day, with 6 to 8 weeks as a course of treatment.

Pelvic floor muscle training needs to take into account 5 aspects :

(1) Strength: the maximum tension that a muscle can produce by contraction.

(2) Rate, the ratio of maximum tension to the time required to reach maximum tension.

(3) Duration: the length of time a muscle contraction can continue or be repeated.

(4) Repeatability: the number of times the contraction can be repeated to reach a certain tension.

(5) Fatigue: Maintaining muscle contraction to the required or expected tension produces fatigue.

2. Pelvic floor muscle electrical stimulation

Electrical stimulation can increase the excitability of neuromuscular system, awaken some nerve cells whose functions have been suspended due to pressure, and promote the recovery of nerve cell function. Pelvic floor rehabilitation electrical stimulation stimulates the contraction of the external urethral sphincter, further enhances sphincter contraction through neural circuits, and improves urinary control. Electrical stimulation of nerves and muscles excites and inhibits sympathetic pathways, inhibits bladder contraction ability, reduces detrusor metabolic level, increases bladder capacity, and enhances urine storage capacity.

3. Pelvic floor biofeedback therapy

Biofeedback therapy converts information about muscle activity into auditory and visual signals and feeds them back to patients through electromyography, pressure curves or other forms, guiding patients to perform correct and autonomous pelvic floor muscle training and form conditioned reflexes. It can effectively control poor pelvic floor muscle contractions and improve and correct such contraction activities. Biofeedback methods include muscle biofeedback, bladder biofeedback, A3 reflex, and scene reflex.