WOMENS-HEALTH Messages for February, 1998: Re: Pregnancy with uterine prolapse

Re: Pregnancy with uterine prolapse

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Wed, 18 Feb 1998 09:07:57 -0600 (CST)

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Reply: carol: "Re: Pregnancy with uterine prolapse, Question for Dr. Marchbein"

At Tue, 17 Feb 1998, April wrote: >
>I am 28 years old and have one child. After having her, my uterus
>prolapsed. I recently had a uterine suspention, but there were
>complications. My doctor found that I only had two functioning
>ligaments on my left side. He went ahead and tied them, but told me he
>was unsure how long they would last. Well, the repair work did not last
>and my uterus has prolapsed again. My doctor now suggests that if I
>want more children, I should have them relatively soon. He is afraid
>that with the weakness of my ligament, my uterus might drop
>significantly further and cause more complications. He is also
>concerned that I may go into preterm labor or be put on bed rest with a
>pregnancy. My husband and I would like a couple more children and would
>like to know if my doctor is correct in suggesting we speed up the
>process, and what kinds of problems I might expect if I do get pregnant
>(throughout my pregnancy). Any advice would be greatly appreciated.
>
>--
>April
>

April,

At this time, there is no good suspensory surgery that will hold up a full term pregnant uterus with all of its weight (baby +fluid +increased weight of uterus +placenta = 10-15lb.). Only you can pick the timing of your children but your doctor is correct that complications may increase. As a resident, we had a patient will prolapse whose cervix sat outside the vagina. When in labor (not preterm labor) and she got fully dilated, since the cervix was outside the vagina, she delivered in bed. No pushing was necessary.

Concerns include preterm labor secondary to infection, irritation and inflammatin of the cervix and possible infection tracking up to the uterus will prolapse. I have heard of using a pessary to hood the cervix up in pregnancy as we do in prolapse in older patients. I have no personal experience with this.

Good luck.

--
Harvey S. Marchbein, M.D. FACOG
OBGYN.net U.S. Representative, New York
Great Neck, New York
http://www.obgyn.net/states/bios/marchbein.htm
http://www.obgyn.net/women/advisors/harveym.htm

**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

Next message: Harvey S. Marchbein, M.D.: "Re: cystocele symptoms"
Previous message: Barbara: "Re: osteo"
In reply to: April: "Pregnancy with uterine prolapse"
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Reply: carol: "Re: Pregnancy with uterine prolapse, Question for Dr. Marchbein"

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