Question

G2L2 woman delivered at home by a trained dai presents with uterine prolapse. Which structure is weak?

• A. Round ligament
• B. Broad ligament
• C. Cardinal ligament
• D. Uterosacral ligament

Hint:

For uterine prolapse, remember the key support: cardinal ligament.

Answer 1

The Correct Option is C

Concept: The cardinal ligament is one of the most important supports of the uterus. Weakness of pelvic supports, especially after childbirth, can lead to uterine prolapse.

Step 1: Identify the condition.
Uterine prolapse means downward displacement of the uterus due to weakness of its supports.

Step 2: Recall major uterine supports.
Important supports of the uterus include: \[ \text{Cardinal ligament + uterosacral ligament + pelvic floor muscles} \] Among these, the cardinal ligament provides major transverse support to the cervix and uterus.

Step 3: Choose the most important weak structure.
In uterine prolapse, weakness of the cardinal ligament is a key factor. Therefore, the correct answer is Cardinal ligament.