Prolapse is normally divided into anterior, uterine/vault and posterior compartments. Although anterior vaginal wall prolapse is still commonly called a cystocoele and posterior prolapse a rectocoele or enterocoele the difficulty in providing reproducible descriptions for the purpose of research has led to the development of scoring systems. The most frequently used validated method in current literature is a system called the POPQ (Pelvic Organ Prolapse
Quantification . The system is shown diagrammatically in Fig. 48.2.
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The first trimester is very important for the mother and the baby. For most women it is common to find out about their pregnancy after they have missed their menstrual cycle. Since, not all women note their menstrual cycle and dates of intercourse, it may cause slight confusion about the exact date of conception. That is why most women find out that they are pregnant only after one month of pregnancy.