Which of the following factors is most impoant in the subsequent development of genital prolapse?: (A) Poor tissue quality, (B) Chronic straining at bowel movements, (C) Menopause, (D) Childbih trauma
Answer is D. Most impoant cause of prolapse in India is Child bih related trauma/ Bad conduct of Labour Atonicity Menopause Congenital weakness Multiparity Bih injuries Prolonged labour Perineal tear Pudendal nerve injury Operative delivery Multiparity Big baby Raised intra-abdominal pressure Chronic bronchitis