Determinants of uterovaginal prolapse in Western Ethiopia

Firdisa, Gamachis; Tilahun, Temesgen; Kejela, Gemechu

doi:10.1007/s00192-021-04883-y

Cited by 3 publications

(7 citation statements)

References 30 publications

(29 reference statements)

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“…Finally, we found a strong association between POP and the duration of labor during the last pregnancy, which was evaluated using three studies ( 28 , 33 , 37 ). Those mothers who had prolonged labor were 4.63 times more likely to develop POP as compared to mothers who had the labor of normal duration (pooled odds ratio = 4.63, 95% CI = 2.56, 8.38).…”

Section: Resultsmentioning

confidence: 94%

“…A total of 21 studies were included in this systematic review and meta-analysis. Out of these, eight studies were case–control studies ( 13 , 21 , 28 – 33 ) and 13 studies were cross-sectional studies ( 15 , 20 , 21 , 34 – 43 ). Regarding sampling design, five studies were community-based studies and the remaining were facility-based studies.…”

Section: Resultsmentioning

confidence: 99%

“…The effect of instrumental delivery on POP was examined by using three studies ( 28 , 32 , 33 ). Those mothers who had previous histories of instrumental delivery were 3.70 times more likely to develop POP as compared to those who had a spontaneous vaginal delivery (pooled odds ratio =3.70, 95% CI =2.01, 6.81.…”

Section: Resultsmentioning

confidence: 99%

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The prevalence of pelvic organ prolapse and associated factors in Ethiopia: a systematic review and meta-analysis

et al. 2023

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BackgroundPelvic organ prolapse (POP) affects millions of women globally, with resource-limited countries, such as Ethiopia, carrying the highest burden. Previously, the prevalence of POP was estimated using seven studies. However, this study lacks generalization because of the limited number of studies and low geographical representation. In total, 12 additional primary studies were conducted after this review, and their reported prevalence was significantly variable across the studies. In addition, different new factors were reported in the primary studies. Therefore, this study aimed to update the pooled prevalence of POP and its associated factors in Ethiopia.MethodsThis study was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. Articles that were published between 2000 and 2023 were searched using the African Journal of Online, ScienceDirect, DOAJ, PubMed, and Google Scholar. The quality of the studies was evaluated using the modified Newcastle-Ottawa quality assessment tool. The data were extracted using Microsoft Excel and analyzed by Stata version 11. A random effect model was used to investigate the pooled prevalence of POP and its associated factors. The I2 test and Egger's regression test were used to detect the presence of heterogeneity and publication bias across studies, respectively.ResultA total of 21 studies met the inclusion criteria and represented the data of 14,575 women. The pooled prevalence of POP was found to be 22.70%. History of home delivery (pooled odds ratio (OR) =2.93, 95% CI =1.46, 5.91), prolonged labor (OR = 4.63, 95% CI = 2.56, 8.38), history of perineal tear (OR = 4.83, 95% CI = 2.31, 10.11), instrumental delivery (OR =3.70, 95% CI =2.01, 6.81), grand multipara (OR = 5.42, 95% CI = 4.06, 7.23), family history of POP (OR = 3.30, 95% CI = 2.07, 5.25), and carrying heavy objects (OR = 3.23, 95% CI = 2.22, 4.70) were significantly associated with POP.ConclusionThe pooled prevalence of POP was high in Ethiopia. The Ministry of Health and clinicians should emphasize counseling on modifiable risk factors and develop further prevention strategies.

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Section: Resultsmentioning

confidence: 94%

Section: Resultsmentioning

confidence: 99%

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The prevalence of pelvic organ prolapse and associated factors in Ethiopia: a systematic review and meta-analysis

et al. 2023

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“…Ambo University Referral Hospital is teaching hospital located at in the city of Ambo, the capital of East Showa, and 114 km from the Ethiopian capital Addis Ababa and serves more than 2 catchment areas.5 million peoples (22). Nekemte Comprehensive Specialty Hospital is located in the town of Nekemte, East Wollega, Ethiopia and provide services to approximately 5 million peoples (23,24). Mettu karl hospital is located in Mettu, a city 600 km from the Ethiopian capital Addis Ababa and serves more than 2.5 million people in the Ilu Ababor Region, Gambella Regional State and the Southern nation and Nationality People's Republic (25).…”

Section: Study Area and Periodmentioning

confidence: 99%

“…A conceptual framework on factors associated with in-hospital mortality among patient undergone laparotomy adapted and developed from (7,14,15,(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33).…”

Section: Ethical Approvalmentioning

confidence: 99%

Magnitude of in-hospital mortality and its associated factors among patients undergone laparotomy at tertiary public hospitals, West Oromia, Ethiopia, 2022

Benti,

Tesgera,

Alemshet

2023

Preprint

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Introduction: Laparotomy surgery is an incision in the abdominal cavity to treat serious abdominal disease and save the patient's life. It is performed in both elective and emergency conditions and results in significant deaths in both developed and developing countries, including Ethiopia. Studies of in-hospital mortality among patients undergone laparotomy surgery and associated factors are limited. Objective: To assess the magnitude of in-hospital mortality and its associated factors among patients undergone laparotomy at tertiary hospitals, West Oromia, Ethiopia, 2022. Method: An institutional retrospective cross-sectional study was donefrom January 1, 2017 to December 31, 2021. Data were collected using systematic random sampling and basedstructured and pre-tested abstraction sheet from 548 patient chars and registries.Data were checked for completeness, consistency, coded, importedusing EPI data version 4.6, cleaned and analyzedusing SPSS version 25. Variables with p < 0.2 in bi-variable logistic regression analysis were included in themultivariate logistic regression analysis. The model fitness was checked by the Hosmer-Lemeshow test. Using the adjusted odds ratio with 95% CI and a p-value of 0.05, statistical significance was declared. Results: A total of 512 patient records were reviewed and the response rate was 93.43%. The overall in-hospital mortality rate was 7.42% [95% CI: 5.4-9.8]. American Anaesthesiology Association physiological status of patients ≥ III [AOR=7.64 (95% CI: 3.12-18.66)], systolic blood pressure <90 mmHg at admission [AOR=6.11 (95% CI: 1.98-18.80)], presence of preoperative sepsis [AOR= 3.54 (95% CI: 1.53-8.19)], Intensive care unit admission [AOR = 4.75 (95% CI: 1.50-14.96)], and hospital stay ≥14 days [(AOR = 6.76 (95% CI: 2.50-18.26)] were significantly associated with in-hospital mortality after laparotomy surgery. Concussion: In this study,overall in-hospital mortality was high. TheAmerican Society of Anaesthesiologists identifies the patient's physical condition early, requires appropriate intervention,and pays special attention to patients: low systolic blood pressure, preoperative sepsis, admission to the hospital, Intensive care unit and prolonged hospital stay, in order to improve patient outcomes after laparotomy surgery.

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Magnitude of in-hospital mortality and its associated factors among patients undergone laparotomy at tertiary public hospitals, West Oromia, Ethiopia, 2022

Daba,

Beshah,

Tekletsadik

2024

BMC Surg

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Introduction Laparotomy surgery, which involves making an incision in the abdominal cavity to treat serious abdominal disease and save the patient’s life, causes significant deaths in both developed and developing countries, including Ethiopia. The number studies examining in-hospital mortality rates among individuals that undergone laparotomy surgery and associated risk factors is limited. Objective To assess the magnitude of in-hospital mortality and its associated factors among patients undergone laparotomy at tertiary hospitals, West Oromia, Ethiopia, 2022. Methods An institutional based retrospective cross-sectional study was conducted from January 1, 2017, to December 31, 2021. Data were collected using systematic random sampling and based on structured and pretested abstraction sheets from 548 medical records and patient register log. Data were checked for completeness and consistency, coded, imported using Epi-data version 4.6, cleaned and analyzed using SPSS version 25 software. Variables with p < 0.2 in the Bi-variable logistic regression analysis were included in the multivariate logistic regression analysis. The fit of the model was checked by the Hosmer‒Lemeshow test. Using the odds ratio adjusted to 95% CI and a p value of 0.05, statistical significance was declared. Results A total of 512 patient charts were reviewed, and the response rate was 93.43%. The overall magnitude of in-hospital mortality was 7.42% [95% CI: 5.4–9.8]. American society of Anesthesiology physiological status greater than III [AOR = 7.64 (95% CI: 3.12–18.66)], systolic blood pressure less than 90 mmHg [AOR = 6.11 (95% CI: 1.98–18.80)], preoperative sepsis [AOR = 3.54 (95% CI: 1.53–8.19)], ICU admission [AOR = 4.75 (95% CI: 1.50-14.96)], and total hospital stay greater than 14 days [(AOR = 6.76 (95% CI: 2.50-18.26)] were significantly associated with mortality after laparotomy surgery. Concussion In this study, overall in- hospital mortality was high. Early identification patient’s American Society of Anesthesiologists physiological status and provision of early appropriate intervention, and pays special attention to patients admitted with low systolic blood pressure, preoperative sepsis, intensive care unit admission and prolonged hospital stay to improve patient outcomes after laparotomy surgery.

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Determinants of uterovaginal prolapse in Western Ethiopia

Cited by 3 publications

References 30 publications

The prevalence of pelvic organ prolapse and associated factors in Ethiopia: a systematic review and meta-analysis

The prevalence of pelvic organ prolapse and associated factors in Ethiopia: a systematic review and meta-analysis

Magnitude of in-hospital mortality and its associated factors among patients undergone laparotomy at tertiary public hospitals, West Oromia, Ethiopia, 2022

Magnitude of in-hospital mortality and its associated factors among patients undergone laparotomy at tertiary public hospitals, West Oromia, Ethiopia, 2022

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