Uterine prolapse during pregnancy: What you need to know

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

Uterine prolapse is a disease that worries many women. If not detected in time, with the right treatment, the disease can cause dangerous complications.

This is a phenomenon where the uterus drops into the vagina, sometimes outside the vagina because the ligaments are stretched, leading to the inability to support the uterus.

Stage 1: The uterus is prolapsed but is still in the vaginal canal. Stage 2: The uterus is lowered outside the vagina and is difficult to see with the eyes. Stage 3: The uterus is now completely retracted out of the vagina visible to the eye. This is a very dangerous condition for women, because it is very likely that the uterus has become infected and may require a hysterectomy due to its inability to contract on its own.

Causes from the fetus: The fetus is large or the mother is pregnant with multiples, causing the uterus to prolapse. Cause from the mother: Pregnancy at an advanced age, giving birth many times before. Or because the process of abortion many times makes the uterus seriously affected. Due to the larger pelvic space compared to the average person. External causes such as: Improper nutrition for pregnant women leading to overweight puts pressure on the pelvic area. In addition, it can be caused by diseases such as cough, prolonged constipation due to not being treated in time.

Pregnant women with uterine prolapse often feel heaviness in the lower abdomen, heavy vagina and vulva, and back pain. However, in the early stages, these signs are still not specific, making the diagnosis process difficult because they can resemble normal aches and pains during pregnancy.
Difficulty excretory processes such as defecation and painful urination. Sometimes I feel the urge to urinate, but I can't.
Feeling like you are sitting on a ball or feeling like something is about to fall out of your vagina.

Appears symptoms such as vaginal bleeding, loss of feeling for the fetus in the abdomen. At this time, it is necessary to see a doctor immediately for timely treatment measures.

5.1 Miscarriage, stillbirth The uterus drops below the vagina, making the fetus not have space to develop, causing stillbirth, affecting the mother's life.
5.2 Premature birth, haemorrhage The fetus can drift out when it is not fully developed. This condition is very dangerous because it not only causes premature death and malformations of the baby, but also risks leading to bleeding for the mother.
There are also some other effects such as:
Loss of ability to become a mother due to an infection of the uterus that needs to be removed. Causing death to mother and baby due to uterine rupture. Affects other parts of the body such as rectum, intestines, bladder.

6.1 Treatment of the disease Strictly follow the doctor's regimen, do not miss any treatment sessions. Hardly practice the gentle exercises that the doctor instructs, after giving birth, you still need to practice to recover the pelvic function quickly. Avoid vigorous exercise, squat for a long time so that pressure is not put on the abdomen.

Eat healthy and get enough rest. Clean the intimate area so that the prolapsed uterus does not become inflamed. The use of herbs is also chosen by pregnant mothers because of their simple use to help restore physiological functions, create vaginal elasticity, and facilitate the delivery process. 6.2 Ways to prevent uterine prolapse It is necessary to monitor health regularly to detect the disease early and take timely treatment measures. It is best before you intend to become a mother, you should have a general health check, to ensure the safety of mother and baby. If pregnant women have cough, bronchitis, treat as soon as possible. It is necessary to avoid doing heavy work, not to get pregnant many times, to avoid abusing drugs, not to have abortions in unsafe facilities. Monitor your weight, avoid excessive weight gain. Do gentle exercises like Kegels to strengthen your pelvic floor muscles. Drink plenty of water, eat green vegetables, eat fresh fruits, avoid dry food, fast food to limit constipation.

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 prompt intervention.
To prepare for a healthy pregnancy, need treatment for uterine prolapse, both husband and wife should check their reproductive health 3-5 months before pregnancy.
The wife should:
Get vaccinated before pregnancy (especially against rubella because rubella in pregnancy is extremely dangerous ) Genetic testing to screen for genetic diseases before pregnancy Check for secondary infections In particular, women over 35 years of age, if they want to become pregnant (especially if they have never been pregnant), will have to have a very detailed health check because pregnancy at this age often problems: ovarian failure, premature birth, higher risk of birth defects, placenta previa, preeclampsia. The husband should:
Check reproductive health, detect diseases of testicular atrophy, physiological weakness, weak sperm... Sexually transmitted diseases, especially those that cannot be cured, are extremely dangerous. Vinmec currently has many comprehensive health care programs for couples, pregnant mothers and their unborn babies, including basic pre-marital examination packages, advanced pre-marital examination packages, and maternity packages. . Vinmec has a team of experienced doctors in the fields of obstetrics and gynecology, IVF, stem cells, gene technology, capable of synchronously and comprehensively deploying the most advanced assisted reproductive techniques today.
For specific information about fertility and maternity packages at Vinmec, please contact the hospitals and clinics of Vinmec health system nationwide.