This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
[{'content': 'Bih trauma is a risk factor for : \nSelect and explain. \nA. Prolapse uterus, B. Endometriosis, C. PID, D. Aboions', 'role': 'user'}, {'content': 'Answer: A \nExplanation: Ans. is a i.e. Prolapse Uterus Risk factors assciated with prolapse : Menopausedeg (most impoant aetiological factor) It increasing chances of prolapse due to - Aging which decreases strength of uterine suppos - Hypoestrogenism Bih injurydeg - due to excessive stretching of the pelvic floor mucles and ligaments. - Due to injury of pudendal nerve Risk factors associated with bih injury : - Bearing down before full dilatation of cervix. - Ventouse extraction of fetus before the cervix is fully dilated Delivery of a big baby - Rapid succession of pregnancies - Resumption of heavy work, soon after delivery Chronically increased intraabdominal pressure : - COPD - Constipation - Obesity Pelvic floor trauma latrogenic trauma as in case of : - Abdomino perineal excision of the rectum Radical vulvectomy - Vaginal hysterectomy Genetic factors : - Race - Hipanic women have highest risk - Connective tissue disorders like warfan and Ehler Danlos Syndrome increase the risk. Increased risk in case of spina bifida.', 'role': 'assistant'}]