Clinical Profile of Uterine Prolapse Cases in South India

Joseph, Nitin; Krishnan, C; Reddy, Bhavya; Adnan, Nurul Afiqah; Han, Low Mei; Min, Yeoh Jing

doi:10.1007/s13224-015-0783-9

Cited by 11 publications

(12 citation statements)

References 20 publications

(31 reference statements)

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“…Women with short birth intervals are associated with higher maternal mortality [19]. However, limited studies have been done on the relationship between short birth interval and the occurrence of POP [20,21]. Therefore, preventive efforts can be suggested if the interval between each birth relates to the occurrence of POP.…”

Section: Introductionmentioning

confidence: 99%

The relationship between pelvic organ prolapse and short birth intervals in a rural area of Nepal

et al. 2021

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Background Pelvic organ prolapse (POP) is one of the main contributors to reproductive health problems that affect women’s quality of life. Previous studies have reported the risk factors and prevalence of POP. The aim of this study is to examine the association between POP and short birth intervals in a rural area of Nepal. Methods A cross-sectional study was conducted in Panchapuri municipality, located in Surkhet District of Karnali Province in Nepal. A questionnaire was used to collect information on POP, birth intervals, and other known confounding factors, such as age and parity. Multiple logistic regression analysis was used to examine the association between minimum birth intervals and POP. Results The study recruited 131 women. The prevalence of POP was 29.8%. The mean (SD) of maternal age was 32.3 (0.7) years. The median parity was 2, with a range of 2–6 children. More than half (64.9%) of the women reported a minimum birth interval of less than 2 years. Maternal age at birth, minimum birth interval, parity, and latest birth interval were significantly associated with POP in univariate analyses. After adjusting for the potential confounding factors such as age and occupation, the minimum birth interval was significantly associated with POP [AOR = 3.08, 95% CI 1.04–9.19]. Conclusion The prevalence of POP was high in this rural area of Nepal. Age, parity, occupation, and minimum birth interval were significantly associated with POP.

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Section: Introductionmentioning

confidence: 99%

The relationship between pelvic organ prolapse and short birth intervals in a rural area of Nepal

et al. 2021

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“…There is study showed that greater BMI was a significant risk factor for POP [11]. However, another study analyzed the BMI as a continuous variable showed that higher BMI was a protective factor for POP [17]. Theoretically, there is chronic intraabdominal pressure increase in obese women which causes excessive load on the pelvic structures, including the pelvic floor muscles, fascia, and pudendal nerves.…”

Section: Discussionmentioning

confidence: 99%

“…Theoretically, there is chronic intraabdominal pressure increase in obese women which causes excessive load on the pelvic structures, including the pelvic floor muscles, fascia, and pudendal nerves. In addition, people who are obese generally have comorbidities such as diabetes which also contribute to poor tissue quality, and are more likely to experience symptoms of lower urinary tract syndrome (LUTS) such as urinary incontinence [16], [17]. A study also found that weight loss was not significantly associated with improvement in POP, thereby that the damage to the pelvic floor caused by weight gain was irreversible.…”

Section: Discussionmentioning

confidence: 99%

Low Expression of p53 in Sacrouterine Ligament as A Risk Factor for Stage III-IV Uterine Prolapse

Pradnyandita

Megadhana

Suwiyoga

et al. 2022

EJMED

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Introduction: As life expectancy increases, so does the incidence of pelvic organ prolapse (POP). Low expression of p53 may lead to reduced production and deposition of elastin in the extracellular matrix thus it may increase the risk for POP. This study aims to determine the relationship between p53 expression and the incidence of grade III-IV POP. Methods: This observational case-control study involved women with grade III-IV POP that underwent a total hysterectomy at Sanglah General Hospital Denpasar as the case group. The control group was non-prolapsed women who were matched to the case for the variables of age, parity, body mass index (BMI), and occupation to minimize bias. The p53 expression was grouped into low (<146.90) and high (≥146.90) expressions according to the optimal cut-off value obtained from the receiver operating characteristic curve. Bivariate analysis between p53 expression and risk of POP was performed using the Chi-square test. Results: A total of 44 patients were included in this study with 22 patients with grade III-IV POP and 22 patients without POP. There were no significant differences in age, parity, BMI, and occupation between the two groups. Low p53 expression increased the risk of stage III-IV uterine prolapse by 20.25 times higher (OR = 20.25; 95% CI = 4.375-93.722; p = 0.000). Conclusion: The low p53 expression in the sacrouterine ligament is a significant risk factor for grade III and IV POP.

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“…The prevalence of pelvic floor dysfunctions in India is 21%, which is higher and not far away from the USA (25%) [ 35 ]. Risk factors for pelvic floor dysfunctions are vaginal mode of delivery [ 36 ], multiparity [ 37 ], lower-class economic group [ 5 ], progression in age [ 38 , 39 ], and so on.…”

Section: Discussionmentioning

confidence: 99%

Assessment of the effect of Mulabandha yoga therapy in healthy women, stigmatized for pelvic floor dysfunctions: A randomized controlled trial

Sweta¹,

Godbole

Prajapati³

et al. 2021

Journal of Ayurveda and Integrative Medicine

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Background In developing countries, women do not reveal their perineum related health issues because most of the time they are stigmatized by the society. Multiparity, mostly found in women of rural areas is one of the major causes of pelvic floor dysfunctions (PFDs) like pelvic organ prolapse, urinary incontinence, rectal incontinence, etc. Usually, they visit health centres in the advanced stage of diseases, and then medical treatment is not the only choice left. Many research studies show that yoga practices promote health conditions, contribute to enhancing endurance, flexibility, and muscular strength, and improving quality of life. Objective(s) The study was conducted to assess the impact of Mulabandha yoga therapy (MYT) in healthy woman participants as a preventive measure. Material and methods The study was a prospective and randomized controlled trial. Fifty healthy woman participants were allocated in two groups viz., MYT group and No MYT group. Mulabandha yoga was conducted for the MYT group for 12 weeks. No MYT group was advised not to do yoga. Pelvic floor muscle strength was internally evaluated by employing the PERFECT scheme score (P = power, E = endurance, R = repetitions, F = fast contractions, ECT = every contraction timed). For eligible samples, MYT sessions were held for 12 weeks. Data interpretation was done with SPSS software 20.0 (IBM Corp. Released 2011. IBM SPSS Statistics for Windows, Version 20.0. Armonk, NY, USA). Results Fifty healthy woman participants were allocated for analysis. There was no statistically significant difference in between the groups comparison in terms of age, socio-economic status, occupation, education, parity and mode of delivery. PERFECT scheme score significantly improved in participants after 12 weeks of regular MYT. No statistically significant differences were observed between the groups comparison in terms of PERFECT scheme score. Conclusion The current study shows that regular practice of MYT for 12 weeks is a better means to reinforce the strength of pelvic floor muscles in women. This MYT procedure will establish evidence for women who are reluctant towards their pelvic organ-related issues. Women must incorporate the MYT practice in their routine life as a preventive measure to refrain from pelvic floor dysfunctions.

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Clinical Profile of Uterine Prolapse Cases in South India

Cited by 11 publications

References 20 publications

The relationship between pelvic organ prolapse and short birth intervals in a rural area of Nepal

The relationship between pelvic organ prolapse and short birth intervals in a rural area of Nepal

Low Expression of p53 in Sacrouterine Ligament as A Risk Factor for Stage III-IV Uterine Prolapse

Assessment of the effect of Mulabandha yoga therapy in healthy women, stigmatized for pelvic floor dysfunctions: A randomized controlled trial

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