RNH - MUST KNOW FOR EXAM

Question 1

What are delancey’s levels of pelvic support?

Answer 1

Level 1 = Uterosacral ligament and cardinal ligament (cervix and upper 1/3 vagina)
Level 2 = Endopelvic fascia (Middle 1/3 vagina)
Level 3 = Perineal body and perineal muscles (Lower 1/3 vagina)

Question 2

What are the treatment options for pelvic organ prolapse?

Answer 2

Lifestyle:
- Limit lifting
- High fibre diet
- Weight loss
- Pelvic strengthening exercises
Vaginal pessary
Surgery:
- Obliterative (closes vagina)
- Reconstructive (restore organs to original position)