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

Abstract

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.

Pelvic organ prolapse and associated factors among women admitted to gynecology ward at the Hiwot Fana Comprehensive Specialized Hospital, Harar, eastern Ethiopia

“…The prevalence of POP in this study is higher than the report of studies done in Southwest Ethiopia (5.9%), 13 Nigeria (3.9%), 32 and Ghana (2.6%). 33 The discrepancy in the estimation of the prevalence of POP might be due to variations in sample size, study setting, and study participants.…”

“…12 It causes a variety of physical disabilities, such as the inability to work, difficulty in walking or standing up, peeing or defecating, painful intercourse, increasing social stigma, and economic destitution. 13 POP mostly affects women between the ages of 50 and 70 years, many women spend a significant portion of their lives dealing with its effects as it became a more serious issue as women's life expectancies have been increasing, and it is anticipated to double in the next 25 years. 2,14 The report of studies done across the world has identified risk factors for the development of POP such as obesity, 2 age at last birth, [15][16][17] parity, 15,18 gravidity, 15 mode of delivery, 19 delivery by unskilled birth attendants, 16,18 family history of POP, 18 prolonged labor, 17 educational status, 18 occupational status, 15,18 genetic factors, anemia, 17 body mass index, 18 and carrying heavy objects.…”

Quality of life and its associated factors among women diagnosed with pelvic organ prolapse in Gynecology outpatient department Southern Nations, Nationalities, and Peoples region public referral hospitals, Ethiopia

“…In the Southern Nation Nationality and Peoples Region of Ethiopia, there were high burdens of pelvic organ prolapse, and the most common cause was old age, long hours of carrying heavy objects, a high parity, a history of home delivery, a history of chronic constipation, and a history of chronic cough (12,13) Pelvic organ prolapse is a signi cant public health issue that affects the lives of millions of women (14). On average, POP in uenced 19.7% of women in developing countries (15).…”

Quality of life and its associated factors among women diagnosed with pelvic organ prolapse in Gynecology outpatient department Southern Nations, Nationalities, and Peoples region public referral hospitals, Ethiopia

“…It is the leading indication for hysterectomy in postmenopausal women and accounts for 15-18% of procedures in all age groups [5]. In the Southern Nation Nationality and Peoples Region of Ethiopia, there were high burdens of pelvic organ prolapse, and the most common cause was old age, long hours of carrying heavy objects, a high parity, a history of home delivery, a history of chronic constipation, and a history of chronic cough [6,7].…”