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Stages and Management
While uterine prolapse during pregnancy is an uncommon condition, it occurs when the uterus descends into the vagina due to weakened pelvic floor muscles and ligaments. Treatment is based on the prolapse severity.
Symptoms of Uterine Prolapse During Pregnancy
Common symptoms of uterine prolapse during pregnancy include:
A visible protrusion from the vagina
Sensation of a bulge in the vagina
Pelvic heaviness
Pressure and a dragging sensation in the vagina
Back pain
A feeling of incomplete bowel emptying
Urinary incontinence and incomplete bladder emptying
These symptoms are often most noticeable during the third trimester. It is crucial to seek medical advice if you experience these symptoms.
Causes of Uterine or Cervical Prolapse During Pregnancy
Pelvic muscles may weaken for several reasons, increasing the risk of uterine prolapse:
- Trauma to pelvic muscles during vaginal childbirth
- Multiple pregnancies and deliveries
- Delivering a large baby vaginally
- Short intervals between pregnancies
- Congenital connective tissue disorders
- Hormonal changes during pregnancy
- Chronic intra-abdominal pressure due to straining or lifting heavy weights
Diagnosing Uterine or Cervical Prolapse During Pregnancy
Healthcare providers diagnose prolapse through pelvic examinations. A Valsalva maneuver may be performed to assess the extent of the prolapse. Additional imaging tests like MRI may be recommended for further confirmation.
Treatment of Uterine or Cervical Prolapse During Pregnancy
Uterine prolapse can result from ageing, multiple pregnancies, and other factors. Both surgical and non-surgical treatment options are available to manage this condition.
Treatment depends on the prolapse stage, pregnancy stage, and presence of other complications. Recommended treatments may include:
- Maintaining genital hygiene to prevent infections
- Using a vaginal pessary to support the uterus until labor
- Pelvic floor exercises in combination with pessaries
- Laparoscopic uterine suspension if conservative treatments fail
- Cesarean section to prevent complications if prolapse persists near the due date
Stages of Uterine Prolapse
Uterine prolapse is classified into stages based on how far the uterus descends into the vagina:
Preventing Uterine Prolapse During Pregnancy
While there is no definitive way to prevent uterine prolapse, certain lifestyle changes can reduce the risk:
- Maintain a healthy weight
- Eat a fiber-rich diet and stay hydrated to avoid constipation
- Avoid lifting heavy weights
- Seek medical advice for chronic cough
- Perform Kegel exercises to strengthen pelvic floor muscles (consult your healthcare provider before starting any exercise)
An existing uterine prolapse may resolve after childbirth, and there is no risk to the baby after delivery.
Why Choose Dr. Namrata Kachhara for Uterine Prolapse Treatment in Indore?
Dr. Namrata Kachhara is a highly experienced gynecologist and oncologist specializing in uterine prolapse treatment. With over 35 years of expertise, she offers the best uterine prolapse treatment in Indore, using innovative techniques tailored to each patient’s needs.
Complications Uterine Prolapse may cause:
A prolapsed uterus can lead to several complications, including:
- Preterm labor
- Difficulties during labor and delivery
- Cervical discomfort
- Cervical desiccation and ulceration
- Urinary tract infections
- Acute urinary retention
- Fetal and maternal sepsis
- Postpartum hemorrhage
In severe cases, uterine prolapse can cause fetal miscarriage. However, extreme complications are rare if the condition is diagnosed and treated promptly. Recognizing the symptoms early can prevent the condition from worsening.
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