Prevention of uterine prolapse after childbirth

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 prolapses, protruding in the vaginal area or the uterus is exposed outside the vagina but the body is still inside, and the most severe degree is that the entire uterus is completely prolapsed. Although this is not a life-threatening disease, it seriously affects the quality of life of patients. Therefore, women, especially postpartum women, need to learn how to treat uterine prolapse at home through simple but very effective uterine prolapse exercises in preventing disease.

Can uterine prolapse be cured? If you have very mild prolapse, with no symptoms or symptoms that are not too bothersome, no treatment is necessary because the uterus after delivery is very mild and may shrink on its own with time.
For patients with mild uterine prolapse, the signs of the disease do not cause too much impact on daily life, non-surgical treatment is the best option, suitable for elderly or healthy patients. Inoperable poor. How to cure uterine prolapse at home is simply from paying attention to living habits and accompanying pelvic floor muscle exercises. Some notes in daily life for the patient are as follows:
The patient needs to focus on resting, not being too active and always keeping a comfortable mind. Ensure adequate nutrition, supplement necessary substances for the body through the diet, do not overeat leading to overweight and obesity. Need to increase fiber to prevent constipation ;

Perform uterine prolapse exercises to help lift the uterus, of which the most popular is Kegel exercises to help increase flexibility, make sex organs healthier and prevent disease very well; Smoking cessation is necessary because correcting problems such as lung disease with cough can slow the progression of uterine prolapse; Avoid heavy lifting and straining, to reduce abdominal pressure on the pelvic structural area; Using an intravaginal uterine retainer, which is designed to hold the uterus in place, has some limitations with these devices. An intravaginal device is of little use in women with severe prolapse. This device can stimulate vaginal cells to the point of causing sores. Women who use vaginal retainers, if not removed regularly to clean, can have a bad odor, affecting sexual relations.

Postpartum uterine prolapse is a common condition but can be easily prevented with the right methods. One of the most common causes of uterine prolapse is damage to the muscles and ligaments that support the uterus. Therefore, to prevent this, pregnant women after giving birth need to take the following notes:
Ensure a post-natal rest regime; Absolutely do not get out of bed to exercise vigorously or do too much work right in the first days after giving birth, to ensure postpartum health maintenance; After recovering, pregnant women should not lie in bed too much, but should perform gentle exercise to limit postpartum constipation; If the pregnant woman has difficulty in defecation, note that she should not use force to push, but should change her diet with a lot of fiber, drink a lot of water or eat foods that help laxatives; Pay attention to keeping warm for pregnant women after giving birth, to prevent colds and coughs in the first month after giving birth.

For women after giving birth, exercises to strengthen the contractions of the hip and anal muscles are essential to prevent uterine prolapse. These exercises help improve the health of the mother and can also prevent anal prolapse very effectively. In which, Kegel exercises are the most popular and most effective exercises for women.
Instructions for performing Kegel exercises:
The exercise can be done while sitting on a chair or lying on the floor; Release the muscles of the buttocks and abdomen, straighten the back, put the arms parallel to the knees and bend them up; Begin the exercise by tightening your pelvic floor muscles and lifting your hips up, holding for 2 to 5 seconds. After tightening the muscles, relax for 10 seconds to help the muscles relax, then repeat the tightening - release movement; Repeat the movements 10 times, can increase the number of tight seconds as you get used to the exercise. Pregnant women need to maintain a reasonable weight, eat a lot of vegetables to avoid constipation, not carry too much weight, and need to know how to use correct lifting techniques.
In addition to the Kegel exercise to strengthen the pelvic floor muscles, there are many other discreet ways to do it. For example, you can practice by tightening the pelvic floor muscles like when urinating, tightening the muscles to stop the flow of urine, but tightening the muscles when urinating is only to determine the feeling of proper tightening of the pelvic floor muscles, not to practice. present while urinating. In addition, it is necessary to avoid injury to the abdominal muscles during childbirth, not to tear or break.