Prevalence of symptomatic urinary incontinence and pelvic organ prolapse among women in rural Nepal

Chen, Grace; Avondstondt, Andrea M.; Khatry, Subarna K.; Singh, Meeta; Klasen, Elizabeth M.; LeClerq, Steven C.; Katz, Joanne; Tielsch, James M.; Mullany, Luke C.

doi:10.1007/s00192-019-04129-y

Cited by 17 publications

(13 citation statements)

References 19 publications

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“…In the final model of multivariable analysis, the odds of POP were more than three times higher among women aged 55 and above compared to women aged 25 to 34yeas. This is comparable with the finding of a previous study conducted in Baherdar, Ethiopia [ 42 ], Uganda [ 43 ], and Nepal [ 44 ]. The justification for this is because the risks of Pelvic Organ Prolapse increase with advanced maternal age and, this is because as women age getting advance, the pelvic floor muscles become weak to support pelvic organs, which may lead to uterovaginal prolapse.…”

Section: Discussionsupporting

confidence: 91%

One in ten ever-married women who visited health facilities for various reasons have pelvic organ prolapse in Harari regional state, Eastern Ethiopia

et al. 2022

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Background Pelvic organ prolapse remains a neglected public health problem in developing countries. The burden of pelvic organ prolapse varies by region and ranges from 9 to 20%. It poses an impact on women’s quality of life and affects their role at the community and family level. Although it has negative consequences and extensive burden, the true feature of pelvic organ prolapse is not well known among ever-married women attending health facilities for various reasons in the study area. Therefore, this study was aimed to assess the magnitude of pelvic organ prolapse and associated factors among ever-married women attending health care services in public Hospitals, Eastern Ethiopia. Methods A facility-based cross-sectional study design was conducted from March 4th to April 5th, 2020 among 458 ever-married women attending public Hospitals in Harar town, Eastern Ethiopia. The study subjects were selected through systematic sampling. The data were collected using a structured questionnaire through face-to-face interviews. Data were analyzed using SPSS version 22 (IBM SPSS Statistics, 2013). The prevalence was reported by proportion and summary measures. Predictors were assessed using a multivariable logistic regression analysis model and reported using an adjusted odds ratio with 95% CI. Statistical significance was declared at p-value < 0.05. Result Of 458 women enrolled in the study, 10.5% of them had pelvic organ prolapse based on women’s reporting of symptoms. History of lifting heavy objects [AOR = 3.22, 95% CI (1.56, 6.67)], history of chronic cough [AOR = 2.51, 95% CI (1.18, 5.31)], maternal age of greater than or equal to 55 years [AOR = 3.51, 95% CI (1.04, 11.76)], history chronic constipation (AOR = 3.77, 95% CI (1.54, 9.22) and no history of contraceptive utilization [AOR = 2.41, 95% CI (1.13, 5.05)] were significantly associated with pelvic organ prolapse. Conclusion In this study, one in ten ever-married women who visited health facilities for various reasons have pelvic organ prolapse. Modifiable and non-modifiable risk factors were identified. This result provides a clue to give due consideration to primary and secondary prevention through various techniques.

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Section: Discussionsupporting

confidence: 91%

One in ten ever-married women who visited health facilities for various reasons have pelvic organ prolapse in Harari regional state, Eastern Ethiopia

et al. 2022

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“…In the nal model of multivariable analysis, the odds of POP was more than three times higher among women aged 55 and above compared to women aged 25 to 34yeas. This is comparable with the nding of previous study conducted in Baherdar, Ethiopia [41], Uganda [42], and Nepal [43]. The justi cation for this is because the risks of Pelvic Organ Prolapse increases with advanced maternal age and, this is because as women's age getting advance, the pelvic oor muscles become weaken to support pelvic organs, which may leads to utero-vaginal prolapse.…”

Section: Discussionsupporting

confidence: 86%

One in ten Women who visited Health Facilities for various Reason have Pelvic Organ Prolapse in Harari Regional State, Eastern Ethiopia

Abebe

Kure

Demssie

et al. 2022

Preprint

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Background: Pelvic organ prolapse remains neglected a public health problem in developing countries. The burden of pelvic organ prolapse varies by region and ranges from 9% to 20%. It poses an impact on women’s quality of life, and affect their role at community and family level. Although it has negative consequences and extensive burden, the true feature of pelvic organ prolapse is not well known among ever-married women attending health facility for various reason in the study area. Therefore, this study was aimed to assess the magnitude of pelvic organ prolapse and associated factors among ever-married women attending healthcare services in public Hospitals, Eastern Ethiopia.Methods: A facility based cross-sectional study design was conducted from March 4th to April 5th, 2020 among 458 ever-married women attending public Hospitals in Ethiopia. The study participants were approached through face-to-face interview using standardized questionnaire. Data were analyzed using SPSS version 22 (IBM SPSS Statistics, 2013). The prevalence was reported by proportion and summary measures. Predictors were assessed using multivariable logistic regression analysis model and reported using adjusted odds ratio with 95% CI. Statistical significance was declared at p-value <0.05.Result: Of 458 women enrolled in the study, 10.5% [95%CI (7.6, 13.5)] of them had pelvic organ prolapse based on women’s reporting of symptoms. History of lifting heavy objects [AOR=3.22, 95%CI (1.56, 6.67)], history of chronic cough [AOR=2.51, 95%CI (1.18, 5.31)], maternal age of greater than and equal to 55 years [AOR=3.51, 95% CI(1.04, 11.76)], history chronic constipation (AOR=3.77, 95%CI(1.54, 9.22) and no history of contraceptive utilization [AOR= 2.41, 95%CI (1.13, 5.05)] were significantly associated with pelvic organ prolapse.Conclusion: In this study, one in ten women suffer from pelvic organ prolapse. Modifiable and non-modifiable risk factor were identified as a predictor. This result provides a cue to give due consideration on primary and secondary prevention through various techniques.

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“…The heaviest burden fall on low-income countries such as Nepal [ 7 ], where complications in pregnancy and childbirth are major causes of morbidity and mortality [ 8 ]. Although maternal mortality has declined ~ 30% during the last 20 years [ 9 ], morbidity such as POP and UI remain high, particularly in the rural areas, at 8% and 24% respectively [ 10 ]. According to the literature, prevalence of POP in Nepal varies widely between districts (2.8–44.5%) [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Pregnant women’s experiences with a pelvic floor muscle training program in Nepal

Stensdotter

Håland

Ytterhus

et al. 2021

Global Health Action

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Background In Nepal, pelvic floor disorders affect about 24% of the women in reproductive age whereof 10% suffer from pelvic organ prolapse (POP). Still, many do not seek health care. Strengthening exercises for the pelvic floor muscles for prevention and treatment of POP has shown strong evidence internationally, but for women in Nepal surgery is primarily offered. To amend this, a novel pelvic floor muscle training (PFMT) program for pregnant women was introduced. Objective To learn about how the PFMT-program was received by the participating women, their understanding of the importance of doing the exercises, and the constraints of daily life for performing the program. Methods A qualitative study design based on a sub-sample (N = 10) from a strategic sample (N = 235) who participated in the PFMT-program. Ten semi-structured in-depth interviews were interpreted according to a phenomenological analytical tradition. Results The 10 women were representative for the women who had participated in the PFMT-program with regard to urban residence, socioeconomic, and educational standing. The program was well received and compliance satisfactory. In line with the PFMT’s learning outcomes, the women described risk factors, showed knowledge about the pelvic floor muscles, and understood the importance of doing the exercises. They had managed to fit the exercises into their busy daily routines. Meeting peers in exercise groups and understanding from family were positive factors for compliance. Conclusion The Nepalese women appear interested in self-care and are making an effort to fit the exercises into their busy schedule. Although the communicative validity was satisfactory, the pragmatic validity cannot be generalized to women in rural areas and under less fortunate socioeconomic and educational circumstances.

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Prevalence of symptomatic urinary incontinence and pelvic organ prolapse among women in rural Nepal

Cited by 17 publications

References 19 publications

One in ten ever-married women who visited health facilities for various reasons have pelvic organ prolapse in Harari regional state, Eastern Ethiopia

One in ten ever-married women who visited health facilities for various reasons have pelvic organ prolapse in Harari regional state, Eastern Ethiopia

One in ten Women who visited Health Facilities for various Reason have Pelvic Organ Prolapse in Harari Regional State, Eastern Ethiopia

Pregnant women’s experiences with a pelvic floor muscle training program in Nepal

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