Pelvic floor disorders among women in Dabat district, northwest Ethiopia: a pilot study

Megabiaw, Berihun; Adefris, Mulatu; Rørtveit, Guri; Degu, Getu; Muleta, Mulu; Blystad, Astrid; Kiserud, Torvid; Yilma, Tesfahun Melese; Kebede, Yigzaw

doi:10.1007/s00192-012-1981-y

Cited by 65 publications

(99 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Women with fistula are both socially and personally affected. The fact that genital problems like urinary incontinence and POP are hidden and disgusting for women as reported by previous studies in northwest Ethiopia [8,19] may contribute for the high prevalence of depression in this study.…”

Section: Discussionmentioning

confidence: 53%

“…Reflective of most settings of a developing countries, Ethiopia is prone to a number of maternal health related problems like early marriage (median age at first marriage being 14.2 years [18]), grand-multiparity, obstructed labour and its complications, POP [19] and fistula [20]. In Ethiopia so far there is extremely scarce documented literature on the magnitude of depression among patients seeking care for obstetric fistula and/or POP.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Depression among women with obstetric fistula, and pelvic organ prolapse in northwest Ethiopia

et al. 2013

View full text Add to dashboard Cite

BackgroundThe prevalence of depression is not well studied among women with pelvic floor disorders. Hence, this study aimed to determine the prevalence of depression and its associated factors among women with pelvic floor disorders.MethodsA cross-sectional study was conducted among 306 women with one or more of the advanced pelvic floor disorders who attended at the gynaecologic outpatient clinic of Gondar university referral hospital in the six months data collection period. Women who complained of urinary or faecal incontinence or protruding mass per vagina were assessed and staged accordingly. Eligible women i.e. those with advanced pelvic organ prolapse or obstetric fistula were included consecutively. A structured questionnaire was used to obtain socio-demographic data and medical histories for all consenting women. Interviews were done by a female midwife nurse. Depression measures were obtained using the Beck’s Depression Inventory (BDI) tool administered by the midwife nurse after intensive training. Data were entered into a computer using Epi Info version 3. 5.3, and then exported to SPSS version 20 for analysis. Multiple logistic regressions were fitted and Odds ratios with 95% confidence intervals were calculated to identify associated factors.ResultsOf the 306 women interviewed, 269 had advanced pelvic organ prolapse (stages 3 and 4), 37 had obstetric fistula. All four women (100%) with both faecal and urinary incontinence, 97.0% those with urinary incontinence due to obstetric fistula and 67.7% of those with advanced pelvic organ prolapse (stages 3 and 4) had symptoms of depression. Depression was significantly associated with age 50 years or older (P < 0.01), marital status (P < 0.05), history of divorce (p < 0.01), self perception of severe problem (P < 0.05), and having stage 3 pelvic organ prolapse (P < 0.01).ConclusionWomen with advanced pelvic organ prolapse, and obstetric fistula had high prevalence of depressive symptoms. A holistic management approach, including mental health care is recommended for women having such severe forms of pelvic floor disorders.

show abstract

Section: Discussionmentioning

confidence: 53%

Section: Introductionmentioning

confidence: 99%

Depression among women with obstetric fistula, and pelvic organ prolapse in northwest Ethiopia

et al. 2013

View full text Add to dashboard Cite

show abstract

“…This might be due to the reason that in our study 89.5% of women with POP were rural inhabitants, whose daily activities included carrying and moving heavy household and agricultural loads. Hence, it is possible to justify that the association of farming activity of rural women and the risk of POP was indirectly through carrying heavy objects, a factor which is also common in other regions of Ethiopia and other developing nations 8,12,19…”

Section: Discussionmentioning

confidence: 99%

“…In the United States, different types of POP, such as uterine prolapse, cystocele, and rectocele, are prevalent 7. Due to the multitude of factors associated with socioeconomic and institutional factors, the prevalence of POP has been significant in developing countries 4,8–10…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Determinants of pelvic organ prolapse among gynecologic patients in Bahir Dar, North West Ethiopia: a case–control study

Asresie¹,

Admassu²,

Setegn³

2016

IJWH

View full text Add to dashboard Cite

IntroductionPelvic organ prolapse (POP) is a significant public health problem in developing countries including Ethiopia. However, less has been documented on risk factors of POP. Therefore, the aim of this study was to identify the determinants factors of POP.MethodsAn unmatched case–control study was conducted among gynecologic patients in Bahir Dar city, North West Ethiopia, from July to October 2014. A total of 370 women (selected from outpatient departments) were included in the study. Cases (clients with stage III or IV POP) and controls (who declared free of any stages of POP) were identified by physicians using the Pelvic Organ Prolapse Quantitative Examination tool. Data analysis was carried out by SPSS version 20.0. Descriptive, bivariate, and multivariable logistic regression analyses were performed. Statistical differences were considered at P<0.05, and the strength of association was assessed by odds ratio (OR) and respective confidence intervals (CIs).ResultsThis study revealed that determinants such as age of women (>40 years) (adjusted OR [AOR] =3.0 [95% CI: 1.59–5.89]), sphincter damage (AOR =8.1 [95% CI: 1.67–39.7]), family history of POP (AOR =4.9 [95% CI: 1.94–12.63]), parity (≥4) (AOR =4.5 [95% CI: 2.26–9.10]), nonattendance of formal education (AOR =4.3 [95% CI: 1.25–14.8]), carrying heavy objects (AOR =3.1 [95% CI: 1.56–6.30]), body mass index (BMI) <18.5 kg/m2 (AOR =3.1 [95% CI: 1.22–7.82]), and delivery assisted by nonhealth professionals (AOR =2.6 [95% CI: 1.24–5.56]) were significantly associated with POP.ConclusionIn our study, sphincter damage, family history of POP, being uneducated, having ≥4 vaginal deliveries, carrying heavy objects, BMI <18.5 kg/m2, age ≥40 years, and having delivery assisted by nonhealth professional were the independent determinants of POP. Therefore, skilled delivery, further promoting family planning and girls’ education, early pelvic floor assessment, and counseling on avoidance of carrying heavy objects are recommended.

show abstract

Prevalence of female urinary incontinence in the developing world: A systematic review and meta‐analysis—A Report from the Developing World Committee of the International Continence Society and Iranian Research Center for Evidence Based Medicine

Mostafaei

Sadeghi‐Bazargani

Hajebrahimi

et al. 2020

Neurourology and Urodynamics

View full text Add to dashboard Cite

Aims: The prevalence of urinary incontinence (UI) in the developing world varies widely. Factors influencing prevalence rates are a key area of interest, and knowledge of these would provide appropriate planning for preventive primary and secondary health care programs. The objective of this report was to synthesize the best available evidence to determine UI prevalence rates in adult women in a population setting.Methods: A comprehensive search strategy was employed to find published and unpublished studies. Databases searched included PubMed, Embase, Scopus, Web of Science, and Google Scholar. We used the standardized Joanna Briggs Institute Meta-Analysis of Statistics, Assessment, and Review Instrument to appraise the included studies.Results: In total, 54 studies with 138,722 women aged 10 to 90 years were included in this meta-analysis. Prevalence of UI ranged from 2.8% in Nigeria to 57.7% in Iran. The total prevalence of UI was 25.7% (95% CI: 22.3-29.5) and the prevalence rates for stress, urgency, and mixed UI were 12.6% (95% CI: 10.3-15.4), 5.3% (95% CI: 3.4-8.3), and 9.1% (95% CI: 7.0-11.8), respectively.When we excluded the elderly population, UI prevalence only slightly changed (26.2%; 95% CI: 22.6-30.2). Prevalence rates varied considerably during different recall periods, ranging from 15.6% for UI during the last 12 months to 41.2% for UI during the last 3 months. However, the study quality and use of validated vs nonvalidated questionnaires only had a minor impact on the prevalence rates. Conclusions: The prevalence, methodology, and definition of UI vary widely.A large-scale multinational study with a homogeneous methodology is necessary to correctly calculate and compare the prevalence rates to improve health policies in the developing world. K E Y W O R D Sdeveloping countries, prevalence, urinary incontinence

show abstract

Pelvic floor disorders among women in Dabat district, northwest Ethiopia: a pilot study

Cited by 65 publications

References 24 publications

Depression among women with obstetric fistula, and pelvic organ prolapse in northwest Ethiopia

Depression among women with obstetric fistula, and pelvic organ prolapse in northwest Ethiopia

Determinants of pelvic organ prolapse among gynecologic patients in Bahir Dar, North West Ethiopia: a case–control study

Prevalence of female urinary incontinence in the developing world: A systematic review and meta‐analysis—A Report from the Developing World Committee of the International Continence Society and Iranian Research Center for Evidence Based Medicine

Contact Info

Product

Resources

About

Pelvic floor disorders among women in Dabat district, northwest Ethiopia: a pilot study

Cited by 65 publications

References 24 publications

Depression among women with obstetric fistula, and pelvic organ prolapse in northwest Ethiopia

Depression among women with obstetric fistula, and pelvic organ prolapse in northwest Ethiopia

Determinants of pelvic organ prolapse among gynecologic patients in Bahir Dar, North West Ethiopia: a case&ndash;control study

Prevalence of female urinary incontinence in the developing world: A systematic review and meta‐analysis—A Report from the Developing World Committee of the International Continence Society and Iranian Research Center for Evidence Based Medicine

Contact Info

Product

Resources

About

Determinants of pelvic organ prolapse among gynecologic patients in Bahir Dar, North West Ethiopia: a case–control study