Uterine displacement images (1)

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