There is a small fleshy spot at the vaginal opening after normal delivery

Compared with caesarean section, natural birth has many advantages, and there is no risk of anesthesia accidents, intraoperative or postoperative bleeding, etc. Moreover, the bleeding rate of natural delivery is much lower than that of caesarean section. However, many people develop small fleshy particles at the vaginal opening after natural delivery. Their bodies are already very weak, so they are worried that it will have a greater impact. So, what’s the matter with the small piece of flesh at the vaginal opening after a normal birth?

Uterine prolapse refers to the uterus descending along the vagina from its normal position, with the external cervical opening reaching below the level of the ischial spine, or even the entire uterus protruding out of the vaginal opening, often accompanied by bulging of the anterior and/or posterior vaginal wall. The anterior and posterior walls of the vagina are adjacent to the bladder and rectum, so uterine prolapse may also be accompanied by bladder urethra and rectal prolapse. Uterine prolapse is related to the relaxation of the ligaments supporting the uterus and the weakening of the pelvic floor support. It is more common in women who have given birth multiple times, are malnourished, or do physical labor. The incidence rate is 1% to 4%.

Because the operation will have a certain impact on the subsequent vaginal delivery, it is only suitable for severe cases and women who no longer want to have children.

1. Pessary treatment

(1) Indications Pessaries have long been used to treat uterine prolapse. It can be controlled by patients themselves, but it is not suitable for patients with severe uterine prolapse or excessive vaginal relaxation.

(2) The size of the pessary should be slightly larger than the genital (pubococcygeus muscle) fissure. The horizontal diameter of the fissure is usually 4 cm at most, so a medium-sized pessary is often used. After a period of time, the pubococcygeus muscle gradually recovers its elasticity, the tissue edema disappears, the weight is reduced, and the uterus will no longer prolapse after the prolapsed part is restored.

(3) The best time to use it is to put it in the morning before work, take it out at night and wash it. It is best not to use during menstruation. The surface of the plastic tray is smooth, it is not easy to deteriorate when exposed to acids and alkalis, and it has little irritation to tissues. After wearing the support, the symptoms disappear and the patient can participate in various activities without pain.

2. Pelvic floor muscle exercises

Suitable for patients with mild symptoms. The method of exercising the levator ani muscles is: contract the anus forcefully, contract the pelvic floor muscles for more than 3 seconds and then relax, do it continuously for 10 to 15 minutes each time, 2 to 3 times a day, and the first exercise should be done before getting up.

3. Surgery

Based on the cause of uterine prolapse, the severity of the disease, whether there is prolapse of other surrounding organs, whether there is a desire to have children, and other conditions, the appropriate surgical method is selected to achieve the goal of restoring normal anatomy and its function. It includes shortening the loose cardinal ligament to improve the support of the uterus; correcting abnormal uterine morphology, such as if the cervix has been elongated and hypertrophied, part of the cervix must be removed to restore the normal length of the cervix; shortening the pubovesical cervical fascia to strengthen the support of the anterior vaginal wall; suturing the pubococcygeus muscle fissure to re-establish a well-functioning perineum.

4. Notes

(1) Get adequate rest and avoid heavy physical labor

(2) Avoid standing for long periods of time, squatting, holding your breath, and other actions that increase abdominal pressure.

(3) Maintain smooth bowel and bladder function.

(4) Timely treat diseases that increase abdominal pressure, such as chronic bronchitis.

(5) Engage in appropriate physical exercise to improve physical fitness.