Browsing by Author "mekuria, Zelalem"

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    Prevalence and associated factors of utero-vaginal prolapse at governmental hospitals in Addis Ababa, Ethiopia.
    (Addis Abeba University, 2019-11) mekuria, Zelalem; Dr. Seyoum, Girma(PhD, Associate professor); Dr. Mengesha, Abdu(MD, Assistant professor)
    Background; Uterovaginal prolapse (UVP) is a major women’s health concern throughout the world. Globally, 2-20% of all women are affected by uterovaginal prolapse (2). The mean prevalence of pelvic organ prolapse in developing countries is 19.7% (7). the prevalence of utero vaginal prolapse in Ethiopia is 18.55% among all gynecological operations (8). Older age, being menopause, higher parity, vaginal delivery, and prolonged labor are major risk factors for the development of uterovaginal prolapse (1). Objective of the study; To assess the prevalence and associated factors of utero vaginal prolapse at governmental hospitals in Addis Ababa, Ethiopia. Methodology; institution based cross-sectional study was employed retrospectively in Addis Ababa city governmental hospitals by reviewing the medical chart of women admitted in gynecology ward for two years, from March 2017 to February 2019 G.C. All women whose medical information was entered into the registry book of gynecology ward of the study hospitals during the study period were included under the study whereas Women with incomplete records and women whose medical charts are lost from the MRN archive of the hospitals were excluded from the study. A randomly selected medical records of 400 women admitted in gynecology wards were included in the study. The data were entered to EpiData 4.4 and analyzed using SPSS version 24 statistical package. Bivariate and multivariate logistic regression were carried out. Result; The prevalence of utero-vaginal prolapse is 12.8 % per total number of patients who admitted at gynecology ward of Addis Ababa city governmental hospitals. The leading determinants of utero-vaginal prolapse were menopause (OR = 2.611 (at 95 % CI: 1.531, 3.838), age > 40 years (OR = 2.143 (at 95 % CI:1.496, 6.602), parity of >4 (OR = 4.201 (at 95 % CI 1.652, 10.685), age at first delivery <20 years old (OR = 7.988(2.682,23.792) and home delivery (OR = 1.380 (at 95 % CI:1.212, 2.572). Conclusion; the prevalence of uterovaginal prolapse in this study was high compared to reported literatures. The high prevalence of UVP indicates the suffering of many women with the problem. The leading determinants of UVP were menopause, having >4 deliveries, age >40 years, age at first delivery <20 years old and home delivery.