Uterine prolapse: Who is susceptible?

The article was professionally consulted by Specialist Doctor II Pham Thi Tuyet Mai - Obstetrician and Gynecologist - Department of Obstetrics and Gynecology, Vinmec Hai Phong International General Hospital

Uterine prolapse is a condition in which the uterus drops below its normal position. Uterine prolapse occurs when the pelvic floor muscles weaken, causing many organs including the bladder, rectum, and urethra to drop into the vagina. However, the most commonly prolapsed organ is the uterus.

The organs in a woman's pelvis include: the bladder (bladder) in front, the vagina, the uterus in the middle, and the anus and rectum behind. To support all these organs requires an interwoven system of scales, muscles, ligaments and nerves. When this support system is damaged, often due to pregnancy, childbirth, or hormonal deficiencies in the elderly, these organs prolapse and fall out of the vulva. In particular, uterine prolapse is one of the pelvic floor diseases, in addition, there are bladder prolapse, rectal prolapse accompanied, causing inflammation, urinary incontinence, difficulty urinating, constipation...
Floor pathologies Pelvic inflammatory disease including uterine prolapse is not an inherited disease. There are many ways to prevent the disease such as building a diet to avoid constipation, shaping postures when working and living to avoid increasing abdominal pressure, performing exercises to help strengthen health. muscles in the pelvic floor...

Uterine prolapse is a disease that can be encountered in any woman. However, there are still some subjects with a higher rate of uterine prolapse than the rest:
Postpartum women, especially for women who give birth vaginally (natural birth), especially having a very long labor time. Women who are pregnant for the first time are less likely to have uterine prolapse than women who have had multiple pregnancies; Women who exercise right after giving birth without abstinence, labor, or carry heavy loads lead to the bottom of the abdomen to contract too much, the abdomen to stretch, sometimes damage or tear some parts of the body, lead to uterine prolapse. Therefore, it is not natural that folk believe that women must abstain from many things after giving birth to avoid future diseases; Women in perimenopause, older women;

Women pregnant with twins or multiples ; The fetus is too large at birth according to the natural birth canal; Pregnant women many times. Every time you give birth, the perineal area must stretch as much as possible for the baby to come out. After giving birth, even if these muscles contract to recover, they cannot be as strong as before. Many births will make the perineum no different from elastic fibers - stretch a lot, so it's loose, easy to break; Pregnant women having difficulty giving birth lead to too long uterine contractions; Placental abnormalities during pregnancy, eg placenta comb teeth; Women who have had uterine surgery; Medical interventions at birth, such as oxytocin. Uterine prolapse is also seen in mothers who have previously given birth vaginally, perineal tears have not been restored, making the perineum more weak; People who have to do hard and strenuous labor, causing the pressure in the abdomen to be always high, are often in a standing or walking position, for example, carrying heavy loads (carrying children, carrying firewood...) all the time. days are also prone to uterine prolapse; Uterine prolapse is common in underdeveloped countries, and the lack of emergency obstetric services is also life-threatening for the mother and fetus. In our country today, women's knowledge is improved, life is better, childbirth is reduced, so uterine prolapse is not as common as before, especially in urban areas. However, in rural areas, especially in mountainous areas, uterine prolapse is still quite common in elderly women; In addition, uterine prolapse is also caused by some people's organs being easily stretched, so there are women who have not given birth or have not had many children, and have a leisurely life. When realizing that she is one of the subjects with high risk of uterine prolapse, women need to pay close attention to monitor the symptoms of their body, especially in the private area, and immediately notify the doctor. when there is an abnormality for timely intervention,