Prolapse worse after miscarriage

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Hi all. I have a mild uterine and bladder prolapse from my first child( forceps 5 hours in second stage)
Unfortunately I have just had a miscarriage (2nd pregnancy) only 5 weeks along but during it my lower region was very draggy and achy and felt similar to when I was recovering after childbirth. Now I think the bulge is slightly worse ( I am still bleeding) so sorry if that's too much info.
Has anyone had this happen? I think after this whole episode I have decided to have a c section next child. The achy feeling was so very sore/painful I don't think I want to put it under labour stress. But anyway I am interested in anyone else having this issue after miscarriage?

Ancasta, prolapse affects all women, including those with a history of c-section and those who have never been pregnant. You might want to read what Christine has to say about c-section in her book. The procedure comes with considerable risk to both mother and baby, and will not prevent prolapse or the worsening of prolapse. If you have prolapse, you will need to manage it, regardless of what birthing method you choose next time around. There have been many moms here who have successfully managed prolapse through subsequent births without any worsening, and in some cases with improvement, because that's what WW is all about.

Many things can worsen prolapse and when we have setbacks we just keep working at it. Posture is key and I hope that you have been practicing it diligently. Right now you need to rest and recover. I felt bulgy after both my vaginal births but I never expected to feel otherwise. Things went back to "normal" until post-meno. if I had known about posture during my birthing years, I have no doubt that things would have been quite different as I aged. Good luck to you and please don't make that c-section decision lightly. Regardless of your decision you must do this work. - Surviving

Hi, yes I have been doing the posture. But it worries me we are told not to strain or lift anything heavy yet childbirth is the biggest strain on your pelvic area. My first birth was a nightmare. What if that happens again? At the moment my symptoms are manageable. I know the prolapse was caused by my first labour. I have spoke to quite a few women in my situation and many of them regret their subsequent labours. I have told them about this site.
In the end I want to not have worsening symptoms. I believe for me ( everyone is different) my prolapses will worsen with more births. And no one can guarantee it will be easier next time around.

It seems to me you are on an individual journey which only you can steer, and one which of course falls to each of us at certain times in our lives. Your navigational aids unfortunately are a bit like being on a wild sea without a compass or north star to guide you. It is not unknown for women who have a caesarian to also develop prolapse. Medical thinking at present is that it is the weight of pregnancy itself which gives rise to prolapse and perhaps not simply the trauma of a difficult childbirth. Natural birth will not of course prevent a difficult childbirth, whereas a caesarian will. However, we who have experienced a difficult birth and/or delivery what with an episiotomy etc would tend to believe that both of these occurrences weaken things somewhat drastically where a caesarian would not. But as has been found caesarians have not protected women from prolapse. That being the state of knowledge at the moment and you should check all of this through, the fact you have already experienced prolapse, it is absolutely natural for you to wish not to exasperate your situation. However, if it should prove true that it is the weight of the pregnancy itself then you must of course take that risk either way you decide to deliver.

Thanks, I believe for me it was the birth ( as I said 5 hours second stage , forceps, epistomy and posterior bub ouch) my pelvic floor was shot for so long and it was many months before I felt somewhat normal. Personally I would go the natural route again but this recent miscarriage has made me re think just because the whole area ached terribly.

You must make your own decision when the time comes, but make sure it is an informed one. Go to the index of Christine's book, and read everything that she has to say about cesarian. - Surviving

My cystocele and rectocele appeared several years after I gave birth, but I was also convinced that the methods of hospital delivery were the cause. It doesn't necessarily make sense to me that vaginal birth causes prolapse, but the norm of doctor assisted hospital deliveries are not natural childbirth at all. The management of birth with labor enhancers, forceps, episiotomy is a domino effect to disaster.

I had four babies in five years. The first was with induced labor, epidural, forceps and episiotomy. The second was with enhanced labor (pretty much the same thing except I waited longer to turn myself over to them) and epidural. I really wanted to have a natural childbirth but was too afraid to go it alone and there were no midwives or other options where I lived at the time. The third time (and the third doctor) said he would give me more room. He was an English doctor who had somehow made his way to my little corner of the US and who was schooled in the Bradley method of childbirth. He allowed me to labor naturally and let me deliver in a labor room bed instead of in stirrups. I had freedom to walk around which is very helpful. My husband was with me every minute, and he was coaching me in my ear against the commands of the nurses. It was my absolute easiest birth, although I did have a tear which I attribute to weakness from previous episiotomies. That doctor also suggested that we not have another baby in the following year but give my body some time to recover. Two years later when I was ready to deliver my fourth, I waited at home until my labor pains were about 5 minutes apart. My water broke in the parking lot at the hospital. I was doing fine. But I was 37 years old and they insisted they were required to give me an IV. I refused pitocin, but they lied to me and gave it to me anyway. It turned a lovely peaceful productive labor into a nightmare. By this time I had a midwife but still had to deliver in a hospital. My baby was 9 lb 15 oz and I tore again. I should never have been in stirrups for that delivery.

As to the stress of labor, my experience was that the more drugs (including the epidurals) the more intense the contractions. During my last labor at home I fell asleep when my contractions were generally about 30 minutes apart. It helped that it was the middle of the night and I was tired....but how I was able to let go of the stress and sleep? I was mad at my husband because he went to sleep while I was in labor, and I thought, "#@% I might as well sleep, too." When I woke up, my contractions were 5 minutes apart. It IS possible to relax and let it work.

So what's the point of this long discourse? I only had one natural delivery out of four.....all vaginal births. Even as I educated myself along the way, there was still the intimidation and fearful reliance on the medical community ... and circumstances of location, money/insurance, the lack of support and encouragement of other women with experience. There is an improvement in the support system for truly natural birth, even while the statistics on c-sections are going up and up. I am so happy for the younger women still bearing children who have this opportunity now to be informed and strengthened to trust their own bodies to do what they are meant to do...with the support of other helps as necessary. I have read on this forum stories of successful deliveries after prolapse, so I encourage you to look into those too.

And still, I second Surviving in the necessity of you making your own informed decision.
Best wishes to you.