Can multiple pregnancies increase prolapse risk?
Yes, having multiple pregnancies, especially with vaginal deliveries, increases the risk of pelvic organ prolapse. Each pregnancy and birth can further stretch and weaken the pelvic floor, compounding the risk over time.
Detailed Medical Explanation
Studies show that the risk of prolapse rises with each pregnancy and delivery, particularly with larger babies, instrumental births, or prolonged labour. The cumulative stretching and trauma to pelvic tissues may eventually exceed the body’s ability to recover, especially without dedicated pelvic floor exercises. This risk is lessened but not eliminated by caesarean sections. (NHS: Prolapse causes)
Clinical Context
Women with multiple pregnancies should be proactive about pelvic floor health. Regular physiotherapy and early postnatal exercises reduce risk and improve recovery after each birth.
Evidence-Based Approaches
NICE and RCOG guidelines advise pelvic floor muscle training for all women after each pregnancy to lower the risk of prolapse. (NICE NG123)