Risk factors of uterine prolapse in a sample of rural women of central Nepal
pdf

Keywords

Risk factors
Uterine prolapse
Women

How to Cite

Manandhar, P., & Rai, S. K. (2023). Risk factors of uterine prolapse in a sample of rural women of central Nepal. Journal of Kathmandu Medical College, 11(4), 221–226. Retrieved from https://jkmc.com.np/ojs3/index.php/journal/article/view/1137

Abstract

Background: In Nepal, 9-35% of Nepali women suffer from uterine prolapse, and 200,000 are in need of immediate surgical treatment.
Objectives: To assess risk factors of uterine prolapse among women of Hariharpurgadhi-2, Sindhuli district, Nepal.
Methods: This community-based analytical cross-sectional study was conducted among 60 married women of Hariharpurgadhi-2, Sindhuli district, which is central rural area of Nepal. Samples were selected through snowball sampling technique. In the sample, the women who have been diagnosed with uterine prolapse and interested were included. Data were collected during 2020 January 20th to 2020 February 24th, through face-to-face interview method using structured interview schedule questionnaire which included structured and semi-structured questions. Collected data were analysed in SPSS v.16 by using descriptive and inferential statistics.
Results: The study found 21 (35%) respondents had first degree uterine prolapse. One-fifth (15, 25%) of them had asthma, 46 (76.7%) had constipation, 26 (43.3%) had chronic cough, 19 (31.7%) had reproductive infection, and 23 (38.3%) of them were smoker. The degree of uterine prolapse was significantly associated with marriage <20 years (p = 0.004), first childbirth <20 years (p = 0.01), higher the number of pregnancy (p = 0.007), and higher the number of childbirth (p = 0.007).
Conclusion: The study findings show that marriage age of below 20 years, first childbirth age of below 20 years, higher number of pregnancy, and higher number of childbirth were the major factors for uterine prolapse. Therefore, public awareness on these factors would be the first step to reduce uterine prolapse.

pdf

References

Broms I, Ingvarsson AK. Nepalese women suffering from uterine prolapsed: A participant observational study in a maternity hospital in Nepal [internet]. Sahlgrenska akademin, Gothenburg University Library; 2012 Jun 29. [Full Text]

Pradhan A, Suvedi BK, Barnett S, Puri M, Poudel P, Chitrakar SR, et al. Nepal maternal mortality and morbidity study, summary of preliminany findings. Kathmandu Nepal: Family Health division, Department of health and Services, Ministry of Health, Government of Nepal; 2008/2009. [Full Text]

Walker GJA, Gunasekera P. Pelvic organ prolapse and incontinence in developingcountries:review of prevalence and risk factors. Int Urogynecology J. 2011 Feb;22(2):127-35. [PubMed | Full Text | DOI]

Khatri RB. Situation of uterine prolapse in salyan, mugu and, bajhang districts of Nepal: A clinic based study. Health Prospect. 2011;10;10-3. [Full Text | DOI]

Shrestha B, Devkota B, Khadka BB, Choulagai B, Pahari DP, Onta S, et al. Knowledge on uterine prolapse among married women of reproductive age in Nepal. Int J Womens Health. 2014 Aug 14;6:771-9. [PubMed | Full Text | DOI]

Puri R. Prevalence, risk factors and traditional treatments of genital prolapsed in Manma, Kalikot district, Nepal: A community based population study (thesis of Master Public health): The Arctic University of Norway; 2011. [Full Text]

Silwal M, Gurung G, Shrestha N , Gurung A, Ojha S. Prevalence and factors affecting women with uterine prolapse in lekhnath, kaski, nepal. Journal of Gandaki Medical College-Nepal.2016; 9(2):52-7. [Full Text| DOI]

Pathak K, Khanal S. Factors associated with uterine prolapse among married women of reproductive age group of Gorkha district. International Journal of New Technology and Research. 2018;4(3):72-7. [Full Text]

Thapa B, Rana G, Gurung S. Contributing factors of utero-vaginal prolapse among women attending in bharatpur hospital. Journal of Chitwan Medical College.2014;4(9):38-42. [Full Text]

Panta PP. Factors affecting uterine prolapse among female of 20-35 years on semi-urban area of kathmandu district, nepal. Journal of Karnali Academy of Health Sciences. 2018;1(3):13-9. [Full Text]

Singh DR, Lama S, Maharjan S. Knowledge on risk factors of uterine prolapse among reproductive age group women of bajrabarahi municipality of lalitpur, nepal. International Journal of Reproduction Contraception Obstetrics and Gynaecology. 2016 Oct;5(10):3343-48. [Full Text| DOI]

Gautam S, Adhikari RK, Dangol A. Associated factors for uterine prolapse. J Nepal Health Res Counc. 2012 Jan;10(20):1-4. [PubMed | Full Text]

Shrestha B, Onta S, Choulagai B, Paudel R, Petzold M, Krettek A. Uterine prolapse and its impact on quality of life in the jhaukhel-duwakot health demographic surveillance site, bhaktapur, nepal. Glob Health Action. 2015 Aug;8:28771. [PubMed | Full Text | DOI]

Shrestha AD, Lakhey B, Sharma J, Singh M, Shrestha B, Singh S. Prevalence of uterine prolapse amongst gynecology opd patients in tribhuvan university teaching hospital in nepal and its socio?cultural determinants. 2016;1-21. [Full Text]

Pant U, Pradhan R, Aryal B. Risk profile of uterovaginal prolapse. Journal of Karnali Academy of Health Sciences. 2018;2(2):42-6. [Full Text | DOI]