Should you have C-section if you have prolapse?
Caesarean section may be considered in women with significant prolapse to reduce further pelvic floor injury, but it is not automatically required for all. The decision is individualised and should be discussed with your consultant obstetrician and gynaecologist.
Detailed Medical Explanation
Women with moderate to severe prolapse may be at higher risk of worsening symptoms or pelvic injury during vaginal delivery. Planned caesarean section is sometimes recommended in these cases. However, caesarean birth is major surgery and carries its own risks. Many women with mild prolapse safely have vaginal deliveries. The choice depends on the type and severity of prolapse, obstetric history, and personal preferences. (NHS: Prolapse and childbirth | NICE NG123)
Clinical Context
Discuss delivery options early in pregnancy with your consultant. Individualised, multidisciplinary care provides the safest outcomes for women with prolapse.
Evidence-Based Approaches
NHS and NICE recommend that the risks and benefits of delivery methods are tailored to the individual, considering both maternal and baby’s health. (NICE NG123)