Prevalence and Factors Affecting Women with Uterine Prolapse in Lekhnath, Kaski, Nepal

Silwal, Muna; Gurung, Gita; Shrestha, Ninadini; Gurung, A; Ojha, Shashank

doi:10.3126/jgmcn.v9i2.17870

Cited by 11 publications

(20 citation statements)

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“…This study revealed prevalence of symptomatic prolapse, similarly to the global estimates (3-6%) and there is no recognizable variation in reports considering methodological differences [4]. However, the result of this study (6.6%) is less than another study conducted in Nepal which shows 13% prevalence rate [14].…”

Section: Discussionsupporting

confidence: 72%

“…The nding of this study, reports similarly to the study conducted in Dabat, Northern Ethiopia that reports the prevalence of symptomatic prolapse 6.3% [14]. However, the study in Dabat reports the prevalence among all women age 15 and above whereas this study ascertains the prevalence among reproductive age group women.…”

Section: Discussionsupporting

confidence: 70%

“…However, the study in Dabat reports the prevalence among all women age 15 and above whereas this study ascertains the prevalence among reproductive age group women. Thus, the prevalence of UP among women in this study seems to be higher when compared to the study in Dabat since the cases of the prevalence of UP increases with age [6,14]. Moreover, the prevalence of UP in this study is considerably higher than the nding of the study conducted in North and East Ethiopia, which reports only 1% [6].…”

Section: Discussioncontrasting

confidence: 66%

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Uterine prolapse and associated factors among reproductive age women in Dawro zone, southwest Ethiopia: a community based cross sectional study

Badacho

Lelu

Gelan

2020

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Background: Uterine Prolapse is an important but one of the most neglected public health problems causing maternal morbidity and mortality among women of reproductive age in developing countries including Ethiopia. However, yet few data are available with respect to uterine prolapse. The objective of this study was to assess the prevalence of, and factors associated with uterine prolapse among women of reproductive age.Methods: A community based cross-sectional study was conducted in Loma Woreda, Dawro southwest Ethiopia, from November to December 2019. A total of 422 randomly selected women of reproductive age were participated in the study. Data were collected by face-to-face interview with pre-structured questionnaire and clinical diagnoses were carried out. Epi data 3.2.1 and SPSS version 24 were used for data entry, processing and analysis. Binary Logistic regression was used to find out the association between dependent and independent variables. Variables with P-value less than 0.25 in bivariate logistic regression were further examined using multivariate logistic regression to investigate an association between dependent variable and independent variables. Results: The mean age of the respondents was 35.4 years (±7.994 SD). This study identified that the prevalence of symptomatic and anatomical uterine prolapse was 6.6 %(28) and 5.9%(25) respectively. The prevalence of anatomical prolapse was used as a reference when determining the associated factors. Age at first marriage (AOR: 0.25, 95%CI (0.07, 0.89), place of delivery (AOR: 3.33, 95%CI (1.21, 9.13), birth attendant assisted delivery (AOR 0.21; 95%CI (0.06, 0.71) and history of abortion (AOR: 2.94, 95%CI (1.08, 7.97) were found to have significantly and independently associated with prevalence of uterine prolapse. Conclusion: Uterine prolapse is common among women of reproductive age group age at first marriage, place of delivery, birth attendant assisted delivery, and history of abortion were found to be independent predictors of prevalence of uterine prolapse.

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Section: Discussionsupporting

confidence: 72%

Section: Discussionsupporting

confidence: 70%

Section: Discussioncontrasting

confidence: 66%

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Uterine prolapse and associated factors among reproductive age women in Dawro zone, southwest Ethiopia: a community based cross sectional study

Badacho

Lelu

Gelan

2020

Preprint

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“…Women with a family history of UVP had 3.77 times higher odds of developing UVP compared to their counterparts. This is consistent with studies conducted in Addis Ababa, Ethiopia [8], and Nepal [33]. Similarly, a study conducted in Italy reported that the risk of urogenital prolapse was higher in women with a family history of prolapse as compared to women without a family history of prolapse [17].…”

Section: Discussionsupporting

confidence: 91%

“…This might be due to age-related weakening of pelvic supportive structures, decreased level of estrogen, and high parity in this age group. However, a study conducted in Gondar Dabat district, Ethiopia, reported a contradictory nding [33].…”

Section: Discussionmentioning

confidence: 98%

Determinants of Utero-vaginal prolapse in Western Ethiopia

Firdisa¹,

Tilahun

Kejela³

2020

Preprint

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Background: Uterovaginal prolapse is a significant public health concern in developing countries like Ethiopia where access to health care is limited. It significantly affects women’s health and productivity. Thus, it is very important to identify determinant factors and take preventive actions. Methods: A hospital-based unmatched case-control study was conducted on 86 cases and 258 controls who attended gynecologic outpatient departments in Nekemte town, from May 1 to July 30/2019. Cases were women with grade II, III & IV uterovaginal prolapse while controls were women free from uterovaginal prolapse but with other gynecologic diseases. Data were collected using pretested interviewer-administered structured questionnaires and measurements on height and weight were taken to calculate the body mass index of women. Data were entered using Epi Data version 3.1 and analysis was carried out by SPSS version 24.0. Descriptive, bivariate, and multivariable logistic regressions were performed. The adjusted odds ratio with a 95% confidence interval was used and statistical significance was declared at p<0.05. Results: This study revealed, age ≥40 years (AOR=10.49; 95%CI: 4.03, 27.35), duration of labor ≥24 hours (AOR=8.32; 95%CI: 3.58, 19.33), instrumental delivery (AOR=7.40; 95%CI: 1.21, 45.28), non- utilization of family planning (AOR=3.14; 95%CI: 1.32, 7.47) and underweight (BMI <18.5 kg/m2) 5.30 (AOR=5.30; 95%CI: 1.83, 15.33) were determinants of utero vaginal prolapse. Conclusion: Age ≥ 40 years, prolonged labor, instrumental delivery, non-utilization of family planning, and underweight were identified as determinant factors of uterovaginal prolapse. Thus, family planning service utilization and appropriate and timely obstetric care are advisable.

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