Clinical epidemiological study of uterine prolapse

Authors

  • Parvathavarthini K. Department of Obstetrics and Gynecology, Karpaga Vinayaga Institute of Medical Sciences and Research Centre, Chennai, Tamil Nadu, India
  • Vanusha A. Department of Obstetrics and Gynecology, Saveetha Medical College and Hospital, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20185287

Keywords:

Epidemiological, Parity, Risk factors, Uterine prolapse

Abstract

Background: Pelvic organ prolapse is one of the common gynaecological problem in India among the parous and aged women. Though the pelvic organ prolapse is not life threatening if left untreated it can lead to many social issues and also it reduces the quality of life of a woman. Thus, this study aims at generating epidemiological data on uterine prolapse in a clinical setting and identifying its risk factors so that appropriate measures can be taken to prevent the same.

Methods: It was a descriptive case control study. Using a study proforma the required information was collected from the patients admitted with uterine prolapse (case) and from amongst the patient’s attendees of Gynaecology ward (control). Obtained data were compared and analyzed using appropriate statistical methods.

Results: Uterine prolapse contributes to about 5.9% of the total gynecological patients admitted during the study period. The mean age of presentation with uterine prolapse was 50.1years the mean number of deliveries was higher in case compared to the control with the mean of 4 deliveries. Out of 130 patients, only 13.9% of them had institutional delivery while the others had home delivery.

Conclusions: Uterine prolapse is strongly associated with age, parity and place of delivery. As the risk factors for uterine prolapse are easily preventable public health awareness programme must be conducted on its risk factors there by reducing the incidence of prolapse and decreasing the morbidity caused by it.

References

Thapa B, Rana G, Gurung S. Contributing factors of utero-vaginal prolapse among women attending in Bharatpur hospital. J Chitwan Med Coll. 2014;4(9):38-42.

Gyhagen M, Bullarbo M, Nielsen TF, Milsom I. Prevalence and risk factors for pelvic organ prolapse 20 years after childbirth: A national cohort study in singleton primiparae after vaginal or caesarean delivery. BJOG. 2013;120(2):152-60.

Glazener C, Elders A, MacArthur C, et al. Childbirth and prolapse: Long-term associations with the symptoms and objective measurement of pelvic organ prolapse. BJOG. 2013;120(2):161-68.

Handa VL, Blomquist JL, McDermott KC, et al. Pelvic floor disorders after vaginal birth: Effect of episiotomy, perineal laceration, and operative birth. Obstet Gynecol. 2012;119(2 Pt 1):233-9.

Durnea CM, O’Reilly BA, Khashan AS, et al. Status of the pelvic floor in young primiparous women. Ultrasound Obstet Gynecol. 2015;46(3):356-62.

Smith FJ, Holman CDJ, Moorin RE, Tsokos N. Lifetime risk of undergoing surgery for pelvic organ prolapse. Obstet Gynecol. 2010;116(5):1096-100.

Doshani A, Roderick E C Teo, Christopher JM, Douglas G Tincello. Uterine prolapse. BMJ. 2007: 20;335(7624):819-23

South M, Amundsen CL. Pelvic organ prolapse: a review of the current literature. Minerva Ginecol, 2007;59(6):601-12.

Menur A, Hailemariam. Pelvic organ prolapse in Jimma University specialized hospital, Southwest Ethiopia. Ethiop J Health Sci., 2012;22(2):85-92.

Gumanga SK, Munkaila A, Malechi H. Social demographic characteristics of women with pelvic organ prolapse at the tamale teaching hospital, Ghana. Ghana Med J. 2014;48:208-13.

Scherf C, Morison L, Fiander A, Ekpo G, Walraven G. Epidemiology of pelvic organ prolapses in rural Gambia, West Africa. Bjog, 2002;109(4):431-6.

Osei K Wusu-Ansah, Henry S Opare-Addo. Pelvic organ prolapse in rural Ghana. Int J Obstetrics Gynecol 2008;103(2):121-4.

Rajalakshmi R, Bharathi S. A self-attempted cutting of a uterovaginal prolapse. J Obstet Gynaecol, 2007;27(2):207-8.

Dia A, Toure CT, Diop MB. Les prolapses genitaux a Dakar. Dakar Medi. 1991;36(1):39-46.

Lukman Y. Utero-vaginal prolapse: a rural disability of the young. East African Med J. 1995;72(1):2-9.

Moalli PA, Jones Ivy S, Meyn LA, Zyczynski HM. Risk factors associated with pelvic floor disorders in women undergoing surgical repair. Obstet Gynecol. 2003;101(5 Pt 1):869-74.

Iyengar K. Early postpartum maternal morbidity among rural women of Rajasthan, India: a community-based study. J Health Popul Nutr 2012;30(2):213-25.

Santhosh K. Indrajit W, Amarjeet S. Self-reported uterine prolapse in a resettlement colony of North India. J Midwife Women’s Health, 2007;45(4):341-8.

Eddie HM, Gerry H. Relation between vaginal birth and pelvic organ prolapse: J Acta Obstet et Gynecol. 2009;88(2):200-3.

Lukacz ES, DuHamel E, Menefee SA, Luber KM. Elevated postvoid residual in women with pelvic floor disorders: prevalence and associated risk factors. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18(4):397-400.

Ramachandran AS. A statistical survey of prolapse of the uterus in relation to partiy and age. Journal of Obstetrics and Gynaecology of India, 1955;6:162-65.

Swift SE, Pound T, Dias JK. Case-control study of etiologic factors in the development of severe pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2001;12(3):187-92.

Rinne KM, Kirkinen PP. What predisposes young women to genital prolapse? Eur J Obstet Gynecol Reprod Biol. 1999;84(1):23-5.

Deval B, Rafii A, Poilpot S, Aflack N, Levardon M. Prolapse in the young woman: study of risk factors. Gynecol Obstet Fertil. 2002;30(9):673-6.

Nygaard I, Bradley C, Brandt D. Pelvic organ prolapse in older women: prevalence and risk factors. Obstet Gynecol. 2004;104(3):489- 97.

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Published

2018-12-26

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Original Research Articles