Can you have a natural birth with a prolapsed uterus? - Mothering Forums

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#1 of 4 Old 01-22-2009, 12:13 PM - Thread Starter
 
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My friend has to wear a pessary and is wanting a natural birth.
Does the fact that she wears a pessary mean she can't have a natural birth?
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#2 of 4 Old 01-22-2009, 12:14 PM - Thread Starter
 
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I'm assuming "prolapsed" is the right word. All I know is that she has to wear a pessary.
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#3 of 4 Old 01-22-2009, 03:49 PM
 
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How far along is she? A lot of people with prolapsed uteruses don't need to wear the pessary through pregnancy because around 14 weeks or so, the bones of the pelvis end up doing the same thing. I think a lot will depend on her previous birth history, she almost certainly can have a natural birth, but she may choose not to, depending on how she came to have a prolapsed uterus, how much it bothers her etc. There does seem to be mixed views on pelvic floor related damage as to whether the damage is already done and another birth is unlikely to worsen it or whether another birth would likely make it worse.

Anne, Christian mummy to Nathanael 05/28/03, Ada 06/10/05, Grace 05/24/09
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#4 of 4 Old 01-22-2009, 08:46 PM
 
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I have uterine prolapse, and have worn a pessary as well. Once I got to around 13-ish weeks, I didn't need the pessary, since the uterus lifted up out of the pelvis. It feels SO much better now. I'm planning a vaginal, unmedicated birth at home, and I don't expect any problems with it. I had prolapse before my last baby, and he was born easily.

The only thing that would make a vaginal delivery unwise is if she has had repair surgery, and they used mesh to hold it in place. If not, she is a candidate for vaginal birth.
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