Why does uterine prolapse occur after giving birth?

2021-03-04 Read:

Why does uterine prolapse occur after giving birth?(图1)

1. What is uterine prolapse?

The normal position of the uterus is in a state of forward leaning forward, and the cervix is above the level of the ischial spine. The uterus can always maintain this normal position is supported by the muscles of the pelvic floor, fascia and ligaments of the uterus. If these tissues that maintain the uterus are damaged, or excessive relaxation occurs, the uterus will descend along the vagina, and in severe cases, it will all protrude out of the vaginal opening, which is uterine prolapse. When standing or squatting down, you may feel a piece of smooth "flesh" in your lower body.

Why does uterine prolapse occur after giving birth?(图2)

2. Why does uterine prolapse occur after giving birth?

Rome was not built in a day, and the uterus did not fall off all at once. This also starts with pregnancy and childbirth:

  • Partus precipitatus: If the uterine contraction rate is too fast and the intensity is too strong during delivery, the pelvic floor tissue and vaginal muscles have not had time to fully expand, and they will be compressed and torn by the fetal head in a short time to maintain the tissue damage of the uterus. It is difficult to restore the normal anatomical position of the posterior uterus

  • The delivery time is too long: if the mother has not delivered the child within 24 hours, the fetal head will press the vagina and pelvic floor tissue for too long, the pelvic floor tissue is ischemic damage, the support function is reduced, and the postpartum uterine prolapse will also be easily caused. .

  •  Improper force during childbirth: Some parturients have not yet opened the uterine orifice, exert force too early, and will not adjust their breathing, especially in acute labor and difficult labor. At this time, the pelvic floor tissue will cause damage, which will affect the position of the uterus after delivery.

  • Failure to protect the perineum during childbirth: the perineum is not well protected during childbirth, such as perineal tears, and failure to repair it in time after delivery, resulting in loose or broken uterine supporting tissues, which will also create conditions for uterine prolapse.

  • Bad lifestyle habits: Postpartum constipation, frequent squatting, and premature getting out of bed after childbirth will increase abdominal pressure and easily cause uterine prolapse.

Why does uterine prolapse occur after giving birth?(图3)

3. To prevent postpartum uterine prolapse, these 5 things should be done

  • Avoid prolonged use of abdominal bands: using abdominal bands during confinement will increase abdominal pressure and push down the unrecovered pelvic floor muscles, which may easily cause problems such as postpartum urine leakage and uterine prolapse. Therefore, avoid using the corset for a long time.

  • Stimulating the nipple to help the uterus contract: the baby's sucking stimulation will reflexively cause the uterus to contract, help the pelvic ligaments to recover, and can effectively prevent postpartum uterine prolapse.

  • Pelvic floor muscle exercise: After 42 days postpartum, pelvic floor muscle exercise should be started as soon as possible, such as Kegel exercise and vagina dumbbells.

  •  Pay attention to posture and avoid prolonged squatting: After childbirth, it takes about 3 months for the new mother to recover the pelvic floor muscles. Therefore, in these 3 months, new mothers should try to avoid prolonged squatting to prevent uterine prolapse.

  • Keep defecation smooth: pay attention to diet and sleep, try to avoid the occurrence of constipation.