Let’s Chat About Prolapse: What It Is and What You Should Know
Hey mamas! Today I want to talk about something that doesn’t get discussed enough: prolapse. It sounds scary, but understanding what it is and what you can do about it can really help you feel more confident and prepared.
So, what is prolapse? Simply put, it’s when an organ slips out of its normal position. This can happen in different parts of the body, and I want to break it down for you.
Uterine Prolapse
This happens when the uterus drops down into the vaginal canal because the pelvic floor muscles aren’t as strong as they need to be.
You might notice:
A feeling of heaviness or pressure in your pelvis
Tissue at the vaginal opening
Urinary issues
What can help: Pelvic floor exercises (Kegels), maintaining a healthy weight, and avoiding heavy lifting. In more serious cases, a doctor might suggest a pessary or surgery.
Vaginal Prolapse
Vaginal prolapse happens when parts of the vagina, sometimes along with your bladder or rectum, bulge into the vaginal canal.
Common types include:
Cystocele: bladder bulges
Rectocele: rectum bulges
Enterocele: small intestine bulges
Signs may include pressure, discomfort, or difficulty using the bathroom. Pelvic floor exercises, supportive devices, and sometimes surgery can help.
Rectal or Anal Prolapse
This occurs when the rectum slips out through the anus. You might notice tissue protruding or have trouble controlling bowel movements. Management can include diet changes, exercises, or surgery if needed.
Umbilical Cord Prolapse (During Birth)
This is a bit different—it happens during delivery when the umbilical cord slips ahead of the baby.
It’s an emergency because it can reduce blood and oxygen to the baby. Trained providers act fast:
Repositioning the mother
Relieving pressure on the cord
Usually delivering by cesarean
Other Types
Bladder prolapse (often part of vaginal prolapse)
Small bowel prolapse (enterocele)
Rarely, other organs may prolapse after surgery or trauma
How to Lower the Risk
While you can’t prevent everything, there are ways to help:
Strengthen your pelvic floor with exercises
Maintain a healthy weight
Avoid heavy lifting or straining
During pregnancy, attend prenatal care, know your baby’s position, and discuss your birth plan with your provider
The Takeaway
Prolapse can sound scary, but most cases are manageable or treatable. Awareness, healthy habits, and skilled care make a big difference. And remember—if something feels off, don’t wait to check in with your doctor or midwife.
