Prolapse After ChildBirth
Unfortunately some women can develop a prolapse after pregnancy and childbirth.
It would seem to be more common after difficult vaginal deliveries rather than C-sections. It can happen after a normal birth but is more common after births with prolonged pushing and a forceps delivery.
Some women are a little unlucky in that they can develop a prolapse even though they have had a C-section. This method of delivery it is not completely protective. Sometimes pregnancy itself can damage or weaken the pelvic floor. One of most common factors affecting pelvic organ prolapse is genetic. If your mother had a prolapse you might be more likely to get one.
The symptoms can vary considerably. Some women may have a prolapse with no symptoms. The most common complaint is feeling “something coming down”, and you may be able to see or feel a lump. You may notice symptoms such as passing urine frequently or have difficulty passing urine. The most common symptom is that of stress incontinence - the leakage of urine when coughing, sneezing, laughing or having sex. Usually there is a major improvement as the body starts to return to normal. Weight loss and pelvic floor exercises can have a really positive effect. Your tissues will improve their blood supply and your pelvic muscles will get stronger when you have stopped breastfeeding.
If symptoms persist you may need some other treatment. Surgery might be needed but usually it is best to wait until you have finished having all your babies. Happily the problems do not seem to get worse with subsequent vaginal deliveries. In fact, normally, subsequent vaginal deliveries are quicker and easier and without trauma. If surgery is needed before another pregnancy and if it is successful then all subsequent babies would be best delivered by elective caesarean section.
If you have any issues regarding your perineum then please do speak to your midwife or doctor and he or she will give you the best advice.
Advice provided by The Doctor and Daughter's Guide to Pregnancy