Uterine displacement
Definition
Also known as uterine prolapse
It is the condition where musculature that supports the uterus is weak, usually following birth
Pathophysiology
When the pelvic floor muscles and ligaments stretches
They can no longer support the pelvic organs s
Allowing the uterus to fall into the vagina
The uterus then protrudes into the vagina pulling some of the vaginal wall, bladder and rectum with it
Can be complete or incomplete
Complete uterine prolapse is when the uterus slips and drops outside the vagina
Signs and symptoms
Discomfort and feeling of fullness and bearing down in the vagina
Urinary incontinence or retention depending on the position of the bladder
Constipation presents depending on the position of the rectum
CarePlan
Nursing diagnosis
Nursing interventions
Problem
Expected outcomes
Teach the patient exercise that can help tighten the pelvic floor
Place the patient in the bed with the foot end of the bed elevated on blocks to effect gravity
Encourage fluid intake and food rich in fibre and protein to promote healing and prevent constipation
Help the patient do sitz baths atleast twice a day and encourage hygiene and change underclothes more often if necessary
Administer antibiotics and analgesics for pain and infection
Pains in the lower abdomen related to displacement of the pelvic organs
Activity intolerance related to the lumb in the vagina
Risk to infection related to the deseas process
Pain
Constipation
Urine incontinence
Urine incontinence related to misplaced bladder
Encourage mobility to help with relieve constipation
Patient to report that she is no longer feeling pain within 6hrs
Vital signs to be in normal range especially temperature which shows infection within 24hrs
No urine incontinence or constipation within 24hrs
Monitor vital signs closely especially temperature and pulse for signs of infection and pain