Why postpartum constipation may lead to uterine prolapse

Jun 14, 2024 Source: Cainiu Health
Disease description:

During a postpartum follow-up examination, mild uterine prolapse was detected. After evaluation, it was found to be caused by constipation. Why can constipation after childbirth lead to uterine prolapse?

Doctor's answer (1)
Dr. Shen Yonghua
The main reasons why postpartum constipation may lead to uterine prolapse are as follows: 1. Increased intra-abdominal pressure: When experiencing constipation after childbirth, the mother must exert effort during bowel movements, leading to elevated intra-abdominal pressure. Prolonged increases in abdominal pressure place additional stress on the pelvic floor muscles and ligaments, potentially increasing the risk of uterine prolapse. 2. Pelvic floor tissue damage: During delivery, the pelvic floor muscles and ligaments may have already sustained some degree of injury. Postpartum constipation and the associated rise in abdominal pressure may further aggravate this tissue damage, weakening their supportive function for the uterus and thereby increasing the likelihood of uterine prolapse. 3. Nutrition and recovery: Postpartum constipation may be related to the mother's nutritional intake and overall recovery. If a mother does not receive adequate nutrition and rest after childbirth, it may impair the healing of pelvic floor tissues, increasing the risk of uterine prolapse. Patients with concerns should seek timely medical advice.