BACKGROUND Pelvic organ prolapse (POP) is a major public health problem with a relative high lifetime risk of surgery. The main risk factor for developing POP is vaginal birth. Many women become symptomatic later in life and most of the existing research on symptomatic pelvic organ prolapse (sPOP) predominantly concentrates on the effects of the condition on postmenopausal women. However bothersome symptoms of POP can be reported as early as in women's 20s and may occur shortly after vaginal birth. Limited studies provide an insight into daily life of fertile women with sPOP. Thus, we aimed to explore fertile women's experiences of symptomatic pelvic organ (sPOP) after vaginal birth. METHODS An inductive, text-driven approach was taken by selecting thread posts from an internet forum written by 33 Swedish fertile women who had experienced sPOP after vaginal birth. RESULTS The overarching theme "being irreparably damaged" was identified as representing an experience of being disabled by sPOP after vaginal birth. The fertile women experienced that their lives were ruined because of physical and psychological limitations caused by this unexpected, unfamiliar and unexplained condition. Living with sPOP impinged on sexual health, restricted daily and sports activities and affected the women's ability to fulfill everyday parental duties. This in turn compromised women's psychological health. In addition, the negligence of healthcare professionals who tended to trivialize and normalize the symptoms led to the belief that there were no sustainable treatments and that women would have to live with bothersome symptoms of POP for rest of their lives. CONCLUSIONS This study found that sPOP had a significant negative impact on fertile women's lives. The women indicated that they had not had the opportunity to voice their concerns and had not been taken seriously by healthcare professionals. It is of the utmost importance to acknowledge this problem and develop guidelines for prevention and management of sPOP to improve the quality of life for women.

中文翻译：

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在线报道女性阴道分娩后有症状的盆腔器官脱垂的经历。

背景技术骨盆器官脱垂（POP）是主要的公共健康问题，具有相对高的终生手术风险。发生POP的主要危险因素是阴道分娩。许多妇女在生命后期出现症状，而有关有症状盆腔器官脱垂（sPOP）的大多数现有研究主要集中于这种状况对绝经后妇女的影响。然而，早在20多岁的女性中就可报告POP的烦人症状，并且可能在阴道分娩后不久发生。有限的研究提供了关于sPOP育女的日常生活的见解。因此，我们旨在探讨可育女性阴道分娩后症状性盆腔器官（sPOP）的经历。方法归纳法 采用文本驱动的方法是从一个由33位瑞典可生育妇女在阴道分娩后经历过sPOP的互联网论坛中选择话题帖子后采取的方法。结果总体主题“受到不可弥补的损害”被确定为代表一种在阴道分娩后被sPOP禁用的经历。生育妇女经历了这种意外，陌生和无法解释的状况所造成的身体和心理限制，从而使自己的生活遭到了破坏。患有sPOP的人会影响性健康，限制日常活动和体育活动，并影响妇女履行日常父母职责的能力。反过来又损害了妇女的心理健康。此外，倾向于平息症状并使症状正常化的医疗保健专业人员的疏忽导致人们相信，没有可持续的治疗方法，并且女性一生必须忍受持久性有机污染物的烦人症状。结论这项研究发现sPOP对可育妇女的生活有重大的负面影响。这些妇女表示，他们没有机会表达自己的关切，也没有受到医疗保健专业人员的重视。承认这一问题并制定预防和管理sPOP的准则以提高妇女的生活质量至关重要。结论这项研究发现sPOP对可育妇女的生活有重大的负面影响。这些妇女表示，他们没有机会表达自己的关切，也没有受到医疗保健专业人员的重视。承认这一问题并制定预防和管理sPOP的准则以提高妇女的生活质量至关重要。结论这项研究发现sPOP对可育妇女的生活有重大的负面影响。这些妇女表示，他们没有机会表达自己的关切，也没有受到医疗保健专业人员的重视。承认这一问题并制定预防和管理sPOP的准则以提高妇女的生活质量至关重要。