Pelvic organ prolapse in rural Ghana

Wusu-Ansah, Osei K.; Opare‐Addo, Henry S.

doi:10.1016/j.ijgo.2008.06.014

Cited by 48 publications

(47 citation statements)

References 16 publications

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“…6 In this hospital based study of pelvic organ prolapse in the northern region of Ghana, the prevalence of 2.68% seen in the out-patients population during the two year study may be an indication that more women suffer from this condition in the community.…”

Section: Discussionmentioning

confidence: 80%

“…2,9 In this study 62.5% of the patients were premenopausal, leaving the predominant occupations of trading and farming, and their parity as factors probably responsible for the pelvic organ prolapse as seen in other studies done in parts of west Africa where over 60% of premenopausal women had pelvic organ prolapse supporting the role of parity and physical activity. 6,10,11 Many rural women engage in daily lifting or carriage of water, farm produce, fire wood, and traded goods. These activities increases risk for pelvic organ prolapse or worsen existing weakness.…”

Section: Discussionmentioning

confidence: 99%

“…The mean parity of women in this study was 4.4 with many of the deliveries not within health facilities; the high mean party is consistent with mean parities in other studies. 6,10,11 Prolonged and difficult labour at home and even sometimes within health facilities all contribute significantly to pelvic floor damage even during the first parturition. Harmful conduct of labour by unskilled attendants such as application of fundal pressure, premature bearing down, use of herbal uterotonic, wrong technique in delivery of the placenta all have a combined effect resulting in pelvic floor damage and pelvic organ prolapse in the long term.…”

Section: Discussionmentioning

confidence: 99%

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Social demographic characteristics of women with pelvic organ prolapse at the Tamale Teaching Hospital, Ghana

Gumanga¹,

Munkaila²,

Malechi³

2015

Ghana Medical Journal

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SUMMARYObjective: To determine the prevalence, social demographic characteristics and types of pelvic organ prolapse that patients present with at the Tamale Teaching Hospital (TTH). Methods: A descriptive study of pelvic organ prolapses at the Tamale Teaching Hospital from 1 st January 2010 to 31 st December 2011. Results: The 118 pelvic organ prolapse cases constituted (2.68%) of the 4403 gynaecological out-patient cases seen during the two year study period. The mean age and standard deviation was (45.9± 15.1) and the modal age group was 30-39 years with 32 (27.1%) of cases. There were 112 (94.9%) cases of uterine prolapse, 95 (80.5%) had cystocele, 16 (13.5%) patients had rectoceles and 3 (2.5%) had enterocele. Their main occupations were trading 66 (55.9%) and farming 44 (37.3%), seventy (62.5%) of the patients with uterine prolapse were premenopausal while (10) 14.3% of the premenopausal cases had an ongoing pregnancy. The parity ranged from zero to 13 with mean and standard deviation of (4.4±1.7). Fifty five (46.6%) were from the Tamale metropolis and only 12 (10.5%) had all their deliveries in hospital. The commonest complication was decubitus ulcer present in 20 (16.9%) patients, 16(80%) of it in patients with procedentia. Conclusion: Pelvic organ prolapse is not a rare gynaecological condition at the Tamale Teaching Hospital. The patients are relatively young and are from various districts in the northern region. Some occupational, socio-cultural practices and reproductive characteristics may be contributory to severity of pelvic organ prolapse.

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Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Social demographic characteristics of women with pelvic organ prolapse at the Tamale Teaching Hospital, Ghana

Gumanga¹,

Munkaila²,

Malechi³

2015

Ghana Medical Journal

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“…It has socioeconomic and health consequences, affecting overall health and sexual function 3. It has been a major gynecologic problem in developed and developing nations 4. However, women in developing countries are affected disproportionally 5,6.…”

Section: Introductionmentioning

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%

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

Asresie¹,

Admassu²,

Setegn³

2016

IJWH

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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.

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Prevalence of pelvic organ prolapse among US racial populations: A systematic review and meta‐analysis of population‐based screening studies

Mou

Warner

Brown

et al. 2021

Neurourology and Urodynamics

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Aims To determine the differences in pooled prevalence rates of symptomatic pelvic organ prolapse (POP) across different US racial/ethnic groups using existing screening‐based epidemiologic studies. Methods A systematic search of MEDLINE, EMBASE, Cochrane, and Scopus was conducted to retrieve eligible studies. We included studies that identified POP by either physical exam or questionnaire, conducted in non‐gynecologic care‐seeking settings, and had a representative sample of US community‐dwelling women from more than one racial/ethnic group with prevalence rates reported for each population. Meta‐analysis was performed with the pooled estimates calculated, and χ 2 tests were performed to examine the associations between race and POP prevalence. Results Of the 2604 studies reviewed, 5 were included. One study used physical exam findings while others used questionnaires to identify POP. All but one study demonstrated statistically significant differences in POP prevalence rates based on race/ethnicity. The overall pooled POP prevalence rates were determined for each racial/ethnic group—White women: 10.76% (95% confidence interval [CI], 10.30%–11.22%); Hispanic women: 6.55% (95% CI, 5.83%–7.28%); Black women: 3.80% (95% CI, 3.22%–4.38%); and Asian American women: 3.40% (95% CI, 2.09%–4.71%). There was a significant difference in the pooled prevalence rates among these four racial/ethnic groups (p < 0.01). Conclusions Our study found that White women had the highest pooled POP prevalence rate overall, while Hispanic women had the highest pooled prevalence among minority women. Additionally, American Indians and Pacific Islanders were absent from the current prolapse epidemiologic literature.

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Pelvic organ prolapse in rural Ghana

Abstract: Only about one-third of women with symptomatic prolapse sought treatment because the cost of medical care outweighed the impact of the condition on their lives.

Cited by 48 publications

References 16 publications

Social demographic characteristics of women with pelvic organ prolapse at the Tamale Teaching Hospital, Ghana

Social demographic characteristics of women with pelvic organ prolapse at the Tamale Teaching Hospital, Ghana

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

Prevalence of pelvic organ prolapse among US racial populations: A systematic review and meta‐analysis of population‐based screening studies

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Pelvic organ prolapse in rural Ghana

Abstract: Only about one-third of women with symptomatic prolapse sought treatment because the cost of medical care outweighed the impact of the condition on their lives.

Cited by 48 publications

References 16 publications

Social demographic characteristics of women with pelvic organ prolapse at the Tamale Teaching Hospital, Ghana

Social demographic characteristics of women with pelvic organ prolapse at the Tamale Teaching Hospital, Ghana

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

Prevalence of pelvic organ prolapse among US racial populations: A systematic review and meta‐analysis of population‐based screening studies

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