Study on awareness, perceptions, experiences in decision process of hysterectomy in women presenting to Goa Medical College

Authors

  • Manjusha Jindal Department of Obstetrics and Gynaecology, Goa Medical College, Bambolim, Goa, India
  • Viraj Ramesh Naik Department of Obstetrics and Gynaecology, Goa Medical College, Bambolim, Goa, India
  • Mrinalini Sahasrabhojanee Department of Obstetrics and Gynaecology, Goa Medical College, Bambolim, Goa, India
  • Jagadish Cacodcar Department of Obstetrics and Gynaecology, Goa Medical College, Bambolim, Goa, India
  • Manojkumar S. Kulkarni Department of Obstetrics and Gynaecology, Goa Medical College, Bambolim, Goa, India
  • Smita Naik Department of Obstetrics and Gynaecology, Goa Medical College, Bambolim, Goa, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20210740

Keywords:

Awareness, Attitudes, Experience, Hysterectomy, Knowledge, Perception

Abstract

Background: Hysterectomy (removal of uterus) has many indications like fibroids, dysfunctional uterine bleeding, uterine prolapse and chronic pelvic pain. The purpose of this study is to know the level of awareness of women about hysterectomy, to study their experiences, to assess their involvement in decision making process and to develop a suitable protocol, counselling and education material to ensure women’s involvement.

Methods: This is a cross sectional study using validated semi-structured interview questionnaire over 6 months (1st December, 2018 to 31st May, 2019) in Goa Medical College. Data was entered in epidata manager and analysed using SPSS 22 version. Categorical variables were expressed in percentages and proportions and quantitative variables in mean±SD. Significance was checked using Chi square test and association between dependent and independent variables was assessed by using bivariate analysis. P value <0.05 was taken as significant.

Results: A total of 149 women were recruited into the study who were admitted for hysterectomy. The mean age of women was 49.3 years. The awareness with respect to various aspects of hysterectomy was good in 23.4% subjects and poor in 76.6% subjects. The awareness was significantly related to level of education (p=0.002), urban location (p=0.016) and socioeconomic status (p=0.028). Education was significant factor in decision-making process (p< 0.05). It was observed that good experience had positive correlation to their perception about hysterectomy.

Conclusions: It was concluded that awareness about hysterectomy was significantly related to education, urban location and socio-economic status of women. Pre-operative education would help to reduce the post-operative symptoms for a women undergoing hysterectomy.

Author Biography

Manjusha Jindal, Department of Obstetrics and Gynaecology, Goa Medical College, Bambolim, Goa, India

Associate Professor, Department of OBG

References

Hammer A, Rositch AF, Kahlert J, Gravitt PE, Blaakaer J, Søgaard M. Global epidemiology of hysterectomy: Possible impact on gynecological cancer rates. Am J Obstet Gynecol. 2015;213(1):23-9.

Jain S, Pansare SS. Perceptions of Indian women on hysterectomy. Int J Reprod Contracept Obstet Gynecol. 2017;6:4646-51.

Desai S, Campbell OMR, Sinha T, Mahal A, Cousens S. Incidence and determinants of hysterectomy in a low-income setting in Gujarat, India. Health Policy and Planning. 2017;32(1):68-78.

Radha K, Devi GP, Chandrasekharan PA, Swathi P, Radha G. Epidemiology of hysterectomy-a cross sectional study among Piligrims of Tirumala. IOSR J Dent Med Sci (IOSR-JDMS). 2015;14:1-5.

Verma D, Singh P, Kulshrestha R. Analysis of histopathological examination of the hysterectomy specimens in a north Indian teaching institute. Int J Res Med Sci. 2016;4(11):4753-8.

Bala R, Devi KP, Singh CM. Trend of hysterectomy: A retrospective analysis in Regional Institute of Medical Sciences (RIMS). J Med Soc. 2015;29:4-7.

Prusty RK, Choithani C, Gupta SD. Predictors of hysterectomy among married women 15-49 years in India. Reprod Health. 2018;15:3.

Skea Z, Harry V, Bhattacharya S, Entwistle V, Williams B, Maclennan G, Templeton A. Women's perceptions of decision-making about hysterectomy. BJOG. 2004;111(2):133-42.

Singh A, Arora AK. Why hysterectomy rates are lower in India. Ind J Community Med. 2008;33(3):196-7.

Mthiyane N. Uterinne health and women’s participation in decisions to undergo hysterectomy in KwaZulu-Natal, Agenda .2012;26:80-92.

Womg.SK, Jakus-Waldman, Yazdany T. Patient beliefs regarding hysterectomy in women seeking surgery from pelvic organ prolapsed: Finding in a predominantly Hispanic population. Female Pelvic Med. Reconstr. Surg. 2014;20:267-271.

Elgi MC, Lekha V. To study the effectiveness of self-instructional module on knowledge and selected outcome among women undergoing hysterectomy in a tertiary care hospital in South India. Int J Reprod Contracept Obstet Gynecol. 2017;6:100-5.

Shekha. Prevalence, sociodemographic determinants and self-reported reasons for hysterectomy in India. Reproductive Health. 2019;16:11.

Uskul. Women’s hysterectomy experiences and decision-making. women and health. 2003;38:1.

Janda M. Patient-reported experiences after hysterectomy: A cross-sectional study of the views of over 2300 women. J Patient Experience.2019;1-8.

Kiyohasa LY. Surgery information reduces anxiety. Brazil. 2004;59(2):151-5.

Dennerstein L, Koochaki P, Barton I, Graziottin A. Hypoactive sexual desire disorder in menopausal women: a survey of Western European women. J Sex Med. 2006;3(2):212-22.

Kumari VJ, Jaculin. Effectiveness of structured teaching programme on pre and postoperative self care management among women who are undergoing abdominal hysterectomy in selected maternity hospital at Bangalore. Manipal university 2012.

Sharmila R. Preoperative teaching about postoperative care among hysterectomy patients. Nightingale Nursing Times. 2012;8(6):62-5.

Schoenfelder T, Schaal T, Klewer J, Kugler J. Patient satisfaction and willingness to return to the provider among women undergoing gynaecological surgery. Arch. Gynaecol. Obstet. 2014;290:683-90.

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Published

2021-02-24

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Original Research Articles