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Best practice opinion for a medical professional (physio/midwife/nurse?)

2 replies

pambeasly · 05/11/2022 18:47

Keen to know what the 'best practice' of care is when a pregnant women comes to you with symptoms of a prolapse. Can't find it on NICE.

It's pretty easy to self diagnose a prolapse, which is what I did during my second trimester. Explained it to my midwife who said I wasn't to worry and it's normal to feel a bulge/laxity (I could feel my stool and needed to splint). She said things move when pregnant. She didn't look.
I wasn't convinced and demanded to be referred to physio, reluctantly she agreed, and to my surprise the physio wouldn't look and said the exact same thing. She added it would be highly unlikely to prolapse during pregnancy. I trusted and accepted I was wrong.

Fast forward post natal, It's been confirmed I had grade 2/3 posterior wall prolapse.

I feel as though I should have been checked pre birth and offered some kind of pelvic floor therapy programme, advice to keep off my feet to help it not get worse (I nursed working on my feet until the day I went into labour!) even a pessary to help with symptoms and keep things held up whilst the weight of the baby was there.

I feel the severity of it now could have been prevented as it was only very mild to begin with (I had no symptoms, just could feel the prolapse with fingers) - now I have horrific symptoms that I affect me daily... on the waiting list for a gynae.

Did I receive the right care? Obviously my hospital says I did, but I can't help but feel I didn't. My GP was shocked, but maybe he was just being supportive.

OP posts:
BluesandClues · 05/11/2022 21:34

Honestly, I don’t know. I’m surprised at the physio, however, I’m not sure that it wouldn’t haven’t gotten worse with the impact of pregnancy on your body.

I’m so sorry you’re going through this.

pambeasly · 06/11/2022 11:54

It's such a hard one. Research suggests that being on your feet a lot whilst heavily pregnant can make it worse, but equally there doesn't seem to be any definitive guidance on how to treat prolapse ante-natal. All the info I can find online is for post-natal treatment. Wish I had a pelvic floor physio friend to ask!

I want to be prepared when I see the consultant. If they feel the hospital is partially responsible they might be more inclined to sort me out with a pessary instead of fobbing me off again. I've heard it can be hard to get a properly fitted one through them.

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