Factors Affecting Uterine Prolapse among Females of 20-35 years on Semi-urban Area of Kathmandu District

Abstract

Uterine prolapse is a significant public health problem in Nepal. The aim of this study was to determine the prevalence of uterine prolapse and to identify the possible risk factors for this. This is a cross sectional study conducted at semi urban area in Kathmadu district. A total of 168 women of age 25 – 34 years were surveyed, and nearly half of them were of 25-29 years. Maximum respondents (38.1%) were Chhettri, and least was Dalit (13.1%). Regarding occupation, two –third of the participants had agriculture and house maker as their main source of living. Among the interviewed population, the prevalence of uterine prolapse was found to be 11.9%. Among them, 15.3% were farmers, 29.4 % were daily wagers, 18.2% were Dalit and 16.7% were of age more than 28 years. This study showed that the income has a vital role in the occurrence of the uterine prolapse, the odds ratio was found to be 13.6 (CI: 4.6-38.5). The pregnancy below the age of 20 was found to be the second major cause (OR: 12.6, CI: 3.5 - 45). Similarly, other factors like parity, gravid, child spacing, lack of rest during pregnancy, heavy weight lifting were the significant factors to uterine prolapse (p<0.05). However, the type of delivery was not associated to the occurrence of uterine prolapse.

Risk factors of uterine prolapse in a sample of rural women of central Nepal

“…Study done in semi-urban area of Kathmandu found 53.1% of respondents had of chronic lungs disease, 5% of them had hypertension, and 22.78% of respondents had constipation problem. 10 In present study, 23 (38.3%) of respondents had smoking history which was similar to study done in Bharatpur, Chitwan, Nepal that was 38.7% of respondents had smoking habit. 15 Similar study done in Manma, Kalikot district showed that 30.4% of respondents had history of smoking.…”

“…8,9 In Kathmandu district, risk factors were heavy work load during pregnancy (38.1%), marriage below 20 years (51.2%) and low-income (38.8%). 10 In Lalitpur, risk factors were frequent child-bearing (16.1%), heavy workload during postnatal (69.2%), early childbirth (12.8%), nutritional deficiency during postnatal (5.7%) and frequent abortion (10.9%). 11 In a Dhulikhel Hospital study, risk factors were COPD (35%), hypertension (16%) and heavy workload during postnatal (87%).…”

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

“…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.…”