thread: Prolapse and vaginal birth

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  1. #1
    Registered User
    Add belfie on Facebook

    Oct 2007
    Melbourne
    2,362

    i have a moderate cystocele prolapse which first occurred halfway during my pregnancy last year. It occasionally flared up during my pregnancy, and we made the decision to have a natural birth. I had one - with failed suction and forceps. Bubs was only 7lb 7oz but it wasn't particularly straightforward (with episiotomy also).

    Following DS's birth I've been seeing a phsyio who specialises in women's pelvic floor stuff and we've done heaps of work to strengthen my pelvic floor as much as possible. 9 months on she has just confirmed that I've sustained some nerve damage to one side of my PFM and has recommended that i have a c-s for the next baby. Her rationale being... you need a nice strong PFM to hold up your prolapse. As she said, if i had a small baby & nice uncomplicated birth, it should make no difference to my prolapse. However, if it isn't an easy birth (i.e. like last tiem) I run the risk of more nerve damage ofthe PFM, thus meaning the prolapse is harder to manage. And the resulting consequences could be a PITA for many years to come.

    I wonder if you are in a similar situation given you have all three prolapses? I'm toying with the thought of getting a second opinion, and will discuss it further once I'm pregnant. So saying, this physio is a very anti-surgery lady and tbh, this recommendation surprised the hell out of me.... but on reflection I can see why she is suggesting it.

    GL with your PG and working out the best thing for you to do (oh and aren't prolapses just a nuisance!!!)

  2. #2
    Registered User

    Oct 2006
    Gold Coast, Queensland
    945

    I can't answer your question, but I would strongly suggest that you see a gynaecologist or obstetrician and get their expert opinion. Preferably one that is pro vaginal birth. I would not go by a GP's opinion when it comes to a specialised problem like yours. Nothing against GP's, but they can't possibly be experts on everything.

    Sasa

  3. #3
    Registered User

    Oct 2006
    North Lakes, Brisbane
    1,590

    Hi.....

    I developed a prolapse about 2 months after having my first baby but it seemed to improve quite noticably by the time he was 6 months old by which time I was 4 weeks pregnant with my second baby. I mentioned it to my Ob at my 8 week check with my second baby and he examined me and said it was no big deal and I went on to deliver naturally.

    My second baby is now 5 months old and the prolapse came back during the pregnancy (probably worse than the first time because it also had the weight of the baby to carry) but again, it has improved significantly and dont even notice it most days ....

    In summary, my Ob didnt think it was a major deal and I delivered normally with no problems at all.

  4. #4
    Registered User
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    Oct 2007
    Melbourne
    2,362

    i would recommend getting checked out by a physio who specialises in the area - if you're in Aus you can look at the Australian Physiotherapy Association website and look up physios in your area who specialise in women's health/continence. In my experience, obs generally are focussed on getting bub out & the immediate health of everyone. Physio's have much more experience with managing the longer-term consequences of damage in this area and will factor that in to your recommendation.

    I agree that GP's don't know as much about the area - I've heard of on GP saying the only option was surgery for a mild prolapse, which seems crazy, considering I can manage a moderate prolapse and certainly don't need surgery. Your treatment options for prolapse are also different during pregnancy as opposed to after, and a physio can help you with that. Plus as Deltadawn said, prolapses typically do improve. You just want to be informed so you don't risk causing permanent damage - also depends on whether you want more kids after this one too.

    GL!

  5. #5
    Registered User

    Mar 2006
    3

    Thank you all so much for responding to this thread even though I disappeared! Unfortunatley, a week after I posted I lost my little bean The information you gave is very appreciated though and if we are lucky enough to fall pregnant again I will revisit it. Thank you all so much again

  6. #6
    Registered User

    Apr 2009
    Melbourne
    345

    So sorry for you loss!!