The possibility of pregnancy and childbirth with uterine prolapse

This is an automatically translated article.

The article is professionally consulted by Specialist Doctor I Truong Nghia Binh - Specialist in Obstetrics - Obstetrics and Gynecology - Vinmec Da Nang International Hospital

Pregnancy and childbirth is a mother's sacred duty. During pregnancy, a mother always faces concerns about the health of herself and her baby. For mothers with congenital uterine prolapse, the worry is doubled.

1. What is uterine prolapse?

This is a phenomenon in which the uterus drops into the vagina, sometimes outside the vagina because the ligaments are stretched and can not support the uterus.

2. Degrees of uterine prolapse

Level 1: The uterus is prolapsed but still attached to the vagina.
Level 2: The uterus is prolapsed from the vagina and the body is still attached to the uterus.
Level 3: The uterus is completely prolapsed from the vagina visible to the naked eye. At this level, it is very dangerous to have a hysterectomy due to infection.

3. Signs of uterine prolapse

Here are the typical signs of uterine prolapse:
Every time you urinate you find it difficult and painful. Low back pain when carrying things, abdominal pain, can't squeeze the abdomen, always feeling full. Vaginal pain every time you have sex. The uterus is located outside the vagina, making it difficult to sit and walk. Also when sitting feels like sitting on a ball, or feels like something is about to fall out of the vagina. So hereditary uterine prolapse, congenital or not does not matter, the most important thing is how to handle this disease.

4. Is it possible to get pregnant with congenital uterine prolapse?

If you have stage 1 uterine prolapse, it is completely possible to become pregnant, but you should consult your doctor. The best advice for you is to finish treatment and then get pregnant.
Being pregnant with uterine prolapse means that keeping the pregnancy is also difficult. Normally, pregnant women are examined every 4 weeks, but for pregnant women with uterine prolapse, antenatal check-ups are performed every 2 weeks.
To closely monitor the fetal activity, when there are frequent asthma attacks, go to the doctor immediately. Normal delivery or cesarean section will depend on the health of the mother and fetus, so pregnant women need to see a doctor soon.
When you are in levels 2 and 3 at this time the uterus has dropped below the vagina, there is no space left to grow, which can lead to stillbirth. Worse, the fetus when not fully developed can be drifted out. The baby can die, malformed, increase the risk of bleeding for the mother.
In addition, there are some accompanying complications such as prolapse of the urethra, bladder, and rectum. If the disease is not treated in time, it may require a hysterectomy due to inflammation and loss of inherent elasticity.

5. What causes uterine prolapse?

5.1 Objective causes Congenitally larger pelvic distance compared to normal people. Uterus malformation, abnormal shape. During pregnancy, it is possible to take some drugs with strong side effects that affect the development of the baby in the womb. 5.2 Subjective causes Multiple pregnancies, or multiple premature births. Unsafe clinic abortion affects the elasticity of the uterus. Early sex when the uterus is not yet complete. During pregnancy, the fetus is large, but the mother's health is weak. Doing heavy work, maintaining the posture for a long time puts the weight on the abdomen. Without a scientific diet, anxiety and nervousness are also the causes of the disease.

6. Treatment and prevention measures

6.1 Preventive measures To prevent uterine prolapse, the patient needs to do the following things well:
Take measures to increase the flexibility of the pelvis with some exercises that can be mentioned here such as: : stretching, sit-ups, Kegel exercises.

Periodic health check to detect disease early and take reasonable treatment measures. Do not carry heavy objects, do not take strong stimulant drugs. Abortion needs to go to safe facilities to avoid disease and disease recurrence. 6.2 Treatment of uterine prolapse during pregnancy When a pregnant woman has uterine prolapse, practice according to the doctor's instructions, do not skip any course. Cleanse the intimate area so that the prolapsed uterus does not become inflamed. It is possible to use a number of herbal medicines that have no side effects for the mother and baby to create elasticity for the uterus, which is convenient for the birth process. However, the dosage of the drug is prescribed by the doctor. Have a healthy scientific diet: such as eating lots of vegetables and fruits, drinking lots of water, limiting eating dry foods, fast foods

At Vinmec International General Hospital, we are currently implementing BASIC Gynecological Examination and Screening PACKAGE, helping customers detect inflammatory diseases early, so that the treatment process will be easy and cost-effective. least. Screening can also detect early gynecological cancer (cervical cancer) even if there are no symptoms.

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