Can I have a baby with uterine prolapse?

Patients with uterine prolapse can generally give birth, but a comprehensive evaluation is required based on the degree of prolapse and physical condition. Mild prolapse usually does not affect pregnancy and delivery, but severe prolapse may increase the risk of pregnancy and requires medical intervention first.

In patients with mild uterine prolapse, the function of the pelvic floor muscles has not been seriously damaged. The enlargement of the uterus during pregnancy may aggravate the symptoms of prolapse, but most of them can be controlled through pelvic floor muscle exercises and postural management during pregnancy. It is recommended that these patients choose cesarean section during delivery to avoid secondary damage to the pelvic floor tissue caused by natural delivery. After childbirth, it is necessary to strengthen pelvic floor rehabilitation training, such as Kegel exercises, electrical stimulation therapy, etc., to help restore muscle tone.

In patients with severe uterine prolapse, the cervix or uterine body has partially or completely prolapsed from the vaginal opening, and pregnancy may lead to miscarriage, premature delivery or bladder dysfunction. Such patients need to receive treatment such as pessary placement and pelvic floor reconstruction first, and then consider pregnancy after the prolapse is improved. If there is severe cardiopulmonary disease or abnormal renal function, pregnancy is not recommended and prolapse needs to be corrected through surgery such as pelvic floor sling surgery.

It is recommended that patients with uterine prolapse undergo pelvic floor function assessment before pregnancy, monitor the degree of prolapse regularly during pregnancy, and avoid behaviors that increase abdominal pressure, such as lifting heavy objects and standing for long periods of time. Pelvic floor muscle strength should be reviewed 42 days after delivery, and biofeedback treatment should be performed if necessary. Daily intake of collagen-rich foods such as isinglass and pig's trotters can help maintain the elasticity of the pelvic floor tissue.