Prevalence and associated factors of utero-vaginal prolapse at governmental hospitals in Addis Ababa, Ethiopia.
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Date
2019-11
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Addis Abeba University
Abstract
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.
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Keywords
Utero-vaginal prolapse, risk factors, Ethiopia