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Pelvic organ prolapse (POP) is characterized by descent of pelvic organs from their normal positions into the vagina. In women, the condition usually occurs when the pelvic floor collapses after gynecological cancer treatment, childbirth or heavy lifting. [ 2 ]
Uterine prolapse is a form of pelvic organ prolapse in which the uterus and a portion of the upper vagina protrude into the vaginal canal and, in severe cases, through the opening of the vagina. [4] It is most often caused by injury or damage to structures that hold the uterus in place within the pelvic cavity. [ 2 ]
After a vaginal birth, the rugae are not visible and the walls of the vagina are smooth. By the third week postpartum, the vagina has become much smaller and the rugae begin to reform on the vaginal walls. Six weeks after birth, the rugae have returned to approximately the same size as they were before the birth.
Obstetric fistula is a medical condition in which a hole develops in the birth canal as a result of childbirth. [ 1 ] [ 2 ] This can be between the vagina and rectum , ureter , or bladder . [ 1 ] [ 4 ] It can result in incontinence of urine or feces . [ 1 ]
During childbirth, women are more likely to develop vaginal introital laxity, eventually leading to the weakening of pelvic floor muscles and may develop urinary symptoms such as OAB. [ 7 ] Vaginal introital laxity may also weaken the support structures around the urethra , which is the tube that helps carry urine outside of the body from the ...
After birth, the fundus contracts downward into the pelvis one centimeter each day. After two weeks the uterus will have contracted and return into the pelvis. [ 9 ] The sensation and strength of postpartum uterine contractions can be stronger in women who have previously delivered a child or children.
In gynecology, a rectocele (/ ˈ r ɛ k t ə s iː l / REK-tə-seel) or posterior vaginal wall prolapse results when the rectum bulges into the vagina. [1] Two common causes of this defect are childbirth and hysterectomy. [2] Rectocele also tends to occur with other forms of pelvic organ prolapse, such as enterocele, sigmoidocele and cystocele. [1]
Rectovaginal fistulas are often the result of trauma during childbirth (in which case it is known as obstetric fistula), with increased risk associated with significant lacerations or interventions are used such as episiotomy or operative (forceps/vacuum extraction) deliveries [2] or in situations where there is inadequate health care, such as in some developing countries.