Page 366 - Critical Maternity & Newborn Health Nursing

3) Dyspareunia.

4) Infertility; due to congestion of the endometrium.

B) Signs:

1) General examination; for chronic bronchitis, and obesity.

2) Abdominal examination for ascites or increase intra-abdominal pressure.

Local Examination.

A) Inspection to know the type of prolapse

B) Digital Palpation: to confirm the nature of the prolapsed mass.

C) Bimanual examination; to detected retroversion or a pelvic mass,

D) Speculum examination; to exclude a lesion in the cervix.

E) Rectal examination; to confirm the diagnosis of rectocele or enterocele.

Treatment:

I) Prophylactic II) Palliative III) Surgical

1 – Prophylactic Treatment:

a) During labor:

avoid straining during the first stage of labor, forceps or breech extraction before

the cervix is fully dilated, empty the bladder, episiotomy to avoid over stretching

and weakness of pelvic floor.

b) After labor:

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