fa9aa769_hild_Health_Nursing_Chapter_10__ificance_and_Suggested_Therapy
[Disorder] Uterine prolapse [Possible Symptoms] Vaginal pressure and low back pain
The uterus has descended in the vagina due to overstretching of uterine supports and trauma to the levator ani muscle. Occurs most often in women who had insufficient prenatal care, birth of a large infant, a prolonged second stage of labor, bearing-down efforts or extraction of a baby before full dilatation, instrument birth, and poor healing of perineal tissue postpartally. Therapy is surgery to repair uterine supports or placement of a pessary, a plastic uterine support. Women with pessaries in place need to return for a pelvic examination every 3 months to have the pessary removed, cleaned, and replaced and the vagina inspected; otherwise, vaginal infection or erosion of the vaginal walls can result.
Nursing Data: Maternal and Child Health Nursing Chapter 10
Significance and Suggested Therapy