Determinants and treatment modalities of uterovaginal prolapse: A retrospective study

Sujindra, Elamurugan; Himabindu, N.; Sabita, P; Bupathy, A.

doi:10.4103/2349-5006.158221

Cited by 8 publications

(10 citation statements)

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“…Duration of labor great or equal to 24 hours was signi cantly associated with development of uterovaginal prolapse. This nding is consistent with previous reports from India (25), Nepal (30), Nigeria (19) and Ethiopia (7). This could be due to the fact that prolonged labor causes more damage to supportive structures of the uterus and other pelvic organs.…”

Section: Discussionsupporting

confidence: 93%

Determinants of Utero-vaginal prolapse in Western Ethiopia

Firdisa¹,

Tilahun

Kejela

2020

Preprint

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IntroductionIn Ethiopia, gynecological problems are important health problems affecting maternal health outcomes and women’s productivity. Uterovaginal prolapse is a significant public health concern in developing countries like Ethiopia where access to health care is limited.ObjectiveTo identify determinants of utero-vaginal prolapse among women attending gynecologic outpatient department at public hospitals in Nekemte town, Western Ethiopia, 2019.Methods and materialA hospital based unmatched case-control study was conducted with the total sample of 341 women attending gynecologic outpatient department in Nekemte town, from May 1 to July 30/2019. 86 cases and 258 controls were included in the study. Cases were women with utero-vaginal prolapse while controls were women free from utero-vaginal prolapse but with other gynecologic disease during the same period as of cases. Data were collected using pretested questionnaire and measurement on height and weight was taken to calculate body mass index of women. Data was 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. Adjusted odds ratio with 95% confidence interval was used and statistical significance was considered at p < 0.05.ResultsThis 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 and RecommendationAge ≥ 40 years, prolonged labor, instrumental delivery, non-utilization of family planning and underweight were identified as determinant factors of utero-vaginal prolapse. Thus, family planning service utilization and appropriate obstetric care are advisable.

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Section: Discussionsupporting

confidence: 93%

Determinants of Utero-vaginal prolapse in Western Ethiopia

Firdisa¹,

Tilahun

Kejela

2020

Preprint

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“…The duration of labor great or equal to 24 hours was signi cantly associated with the development of uterovaginal prolapse. This nding is consistent with previous reports from India [25], Nepal [30], Tanzania[35], Nigeria [19], and Ethiopia [7]. This could be because prolonged labor causes more damage to supportive structures of the uterus and other pelvic organs.…”

Section: Discussionsupporting

confidence: 92%

“…A review of the literature around the world revealed different factors for the development of uterovaginal prolapse. The most important once are factors that increase intra-abdominal pressure, di cult labor and delivery, malnutrition, old age, connective tissue disorders, heavy exercise, and pelvic trauma [7,[13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29].…”

Section: Introductionmentioning

confidence: 99%

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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“…84% of women in our study were post menopausal. This result supported by the Indian study at Indira Gandhi Medical College, Pondicherry which showed a prevalance of 77% 10 . This evidences that results in loss of collagen and weakness of fascia and connective tissue which is further aggravated in postmenopausal period due to estrogen deficiency leading to prolapse.…”

Section: Resultssupporting

confidence: 72%

Factors Responsible for Utero-Vaginal Prolapse Among Women Attending at a District Hospital of Bangladesh

Khanam

Rashid²,

Sharmin

et al. 2020

Chatt Maa Shi Hosp Med Coll J

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Background : Utero vaginal prolapse is a big health problem in Bangladesh. The aim of this study was to calculate prevalence of uterine prolapse and to find out the possible factors that are responsible for this disease among patients attended at Chattogram General Hospital (250 bedded) Bangladesh. Materials and methods: It was a descriptive study which was done between November 2016 to August 2017. This analysis was restricted to a sample that included all women complaints of uterine prolapse diagnosed and treated at Chattogram General Hospital. Results: During a 10 months period, 100 women were diagnosed and treated with uterine prolapse. The prevalence of utero-vaginal prolapse is 4.2%. The mean age at the time of clinical presentation was 40 years. In average, the women gave birth to four children vaginally. 20% of the women were smokers and 84% of them were postmenopausal. 10% of the affected patients had a Chronic Obstructive Pulmonary Disease (COPD) 41% suffered from hypertension and 15% had diabetes mellitus. The majority of the women with uterine prolapse reported that they were working heavily during perinatal period (78%). Conclusion : In this study several risk factors for uterine prolapse, specially extensive physical labor during pregnancy and immediately after delivery, 100% unavailability of skilled births attendants, smoking while having COPD and low food adequacy during perinatal period are mainly responsible for this common disease. Chatt Maa Shi Hosp Med Coll J; Vol.18 (2); July 2019; Page 33-36

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Determinants and treatment modalities of uterovaginal prolapse: A retrospective study

Cited by 8 publications

References 0 publications

Determinants of Utero-vaginal prolapse in Western Ethiopia

Determinants of Utero-vaginal prolapse in Western Ethiopia

Determinants of Utero-vaginal prolapse in Western Ethiopia

Factors Responsible for Utero-Vaginal Prolapse Among Women Attending at a District Hospital of Bangladesh

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