Prevalence of symptomatic pelvic organ prolapse and associated factors in Southern Nations, Nationalities, People's Region referral hospitals, Ethiopia

被引:4
作者
Shewarega, Ever Siyoum [1 ]
Geremew, Alehegn Bishaw [1 ]
Fentie, Elsa Awoke [1 ]
机构
[1] Univ Gondar, Coll Med & Hlth Sci, Inst Publ Hlth, Dept Reprod Hlth, POB 196, Gondar, Ethiopia
关键词
Pelvic organ prolapse; Risk factors; SNNPR; Ethiopia; ICS JOINT REPORT; RISK-FACTORS; WOMEN; TERMINOLOGY;
D O I
10.1007/s00192-022-05280-9
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Introduction and hypothesis Pelvic organ prolapse is one of the major causes of morbidity among women that affect their quality of life. Despite the severity of the problem, there is limited information in Ethiopia. Therefore, this study was aimed at assessing the prevalence of symptomatic POP and its associated factors. Methods An institution-based cross-sectional study was carried out in the referral hospitals of Southern Nations, Nationalities, People's Region, Ethiopia. Women were initially interviewed about their prolapse symptoms using validated questionnaires, and if they answered yes to one or more of the questions, they were examined by gynecologists using simplified POP quantification. Pelvic examination results and patient-reported symptoms were used to determine symptomatic POP. A multivariate logistic regression analysis model was used to identify factors associated with symptomatic prolapse. Results A total of 1,196 respondents were included in this study. The prevalence of symptomatic POP was found to be 20.1%. Age of women >= 55 years (AOR=8.39; 95% CI 3.41-20.62), carrying heavy objects for >= 5 h (AOR= 5.18; 95% CI 2.51-10.69), parity >= 4 times (AOR=2.98; 95% CI 1.60-5.53), history of home delivery (AOR= 2.90; 95% CI 1.50-5.61), giving birth through assisted vaginal delivery (AOR=5.01; 95% CI 1.73-14.53), history of chronic constipation (AOR=2.66; 95% CI 1.38-5.15), and a history of a chronic cough (AOR=9.18; 95% CI 4.52-18.61) were associated with symptomatic POP. Conclusions In this study the prevalence of symptomatic POP is high. Older age, long hours of carrying heavy objects, a high parity, last birth through assisted vaginal delivery, a history of home delivery, a history of chronic constipation, and a history of a chronic cough were found to be associated with symptomatic POP.
引用
收藏
页码:125 / 134
页数:10
相关论文
共 39 条
[31]   Pelvic floor disorders among women in Dabat district, northwest Ethiopia: a pilot study [J].
Megabiaw, Berihun ;
Adefris, Mulatu ;
Rortveit, Guri ;
Degu, Getu ;
Muleta, Mulu ;
Blystad, Astrid ;
Kiserud, Torvid ;
Melese, Tesfahun ;
Kebede, Yigzaw .
INTERNATIONAL UROGYNECOLOGY JOURNAL, 2013, 24 (07) :1135-1143
[32]   The association between maternal age at first delivery and risk of obstetric trauma [J].
Rahmanou, Philip ;
Caudwell-Hall, Jessica ;
Atan, Ixora Kamisan ;
Dietz, Hans P. .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2016, 215 (04)
[33]  
Scherf C, 2002, BJOG-INT J OBSTET GY, V109, P431, DOI 10.1016/S1470-0328(02)01109-6
[34]   Age-related pelvic floor modifications and prolapse risk factors in postmenopausal women [J].
Tinelli, Andrea ;
Malvasi, Antonio ;
Rahimi, Siavash ;
Negro, Roberto ;
Vergara, Daniele ;
Martignago, Roberta ;
Pellegrino, Marcello ;
Cavallotti, Carlo .
MENOPAUSE-THE JOURNAL OF THE NORTH AMERICAN MENOPAUSE SOCIETY, 2010, 17 (01) :204-212
[35]   Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010 [J].
Vos, Theo ;
Flaxman, Abraham D. ;
Naghavi, Mohsen ;
Lozano, Rafael ;
Michaud, Catherine ;
Ezzati, Majid ;
Shibuya, Kenji ;
Salomon, Joshua A. ;
Abdalla, Safa ;
Aboyans, Victor ;
Abraham, Jerry ;
Ackerman, Ilana ;
Aggarwal, Rakesh ;
Ahn, Stephanie Y. ;
Ali, Mohammed K. ;
Alvarado, Miriam ;
Anderson, H. Ross ;
Anderson, Laurie M. ;
Andrews, Kathryn G. ;
Atkinson, Charles ;
Baddour, Larry M. ;
Bahalim, Adil N. ;
Barker-Collo, Suzanne ;
Barrero, Lope H. ;
Bartels, David H. ;
Basanez, Maria-Gloria ;
Baxter, Amanda ;
Bell, Michelle L. ;
Benjamin, Emelia J. ;
Bennett, Derrick ;
Bernabe, Eduardo ;
Bhalla, Kavi ;
Bhandari, Bishal ;
Bikbov, Boris ;
Bin Abdulhak, Aref ;
Birbeck, Gretchen ;
Black, James A. ;
Blencowe, Hannah ;
Blore, Jed D. ;
Blyth, Fiona ;
Bolliger, Ian ;
Bonaventure, Audrey ;
Boufous, Soufi Ane ;
Bourne, Rupert ;
Boussinesq, Michel ;
Braithwaite, Tasanee ;
Brayne, Carol ;
Bridgett, Lisa ;
Brooker, Simon ;
Brooks, Peter .
LANCET, 2012, 380 (9859) :2163-2196
[36]   Pelvic organ prolapse and incontinence in developing countries: review of prevalence and risk factors [J].
Walker, Godfrey J. A. ;
Gunasekera, Prasanna .
INTERNATIONAL UROGYNECOLOGY JOURNAL, 2011, 22 (02) :127-135
[37]   Forests, women and health: opportunities and challenges for conservation [J].
Wan, M. ;
Colfer, C. J. P. ;
Powell, B. .
INTERNATIONAL FORESTRY REVIEW, 2011, 13 (03) :369-387
[38]   Racial Differences in Pelvic Organ Prolapse [J].
Whitcomb, Emily L. ;
Rortveit, Guri ;
Brown, Jeanette S. ;
Creasman, Jennifer M. ;
Thom, David H. ;
Van Den Eeden, Stephen K. ;
Subak, Leslee L. .
OBSTETRICS AND GYNECOLOGY, 2009, 114 (06) :1271-1277
[39]   Pelvic organ prolapse in rural Ghana [J].
Wusu-Ansah, Osei K. ;
Opare-Addo, Henry S. .
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2008, 103 (02) :121-124