Kumari S, Walia I, Singh A
College of Nursing, PGIMER, Chandigarh.
J Midwifery Womens Health. 2000 Jul-Aug;45(4):343-50. doi: 10.1016/s1526-9523(00)00033-7.
The aims of this study are to estimate the prevalence of self-reported uterine prolapse and to determine the treatment-seeking behavior of the respondents. Participants of this study are married women of Dadu Majra colony, Chandigarh, India, January-February, 1996. A house-to-house screening of the women was done by a nursing student utilizing a checklist of indicator symptoms of uterine prolapse. All women reporting such symptoms were interviewed further. Among the 2,990 women surveyed, 227 (7.6%) reported symptoms of uterine prolapse. Of the 227 women with self-reported uterine prolapse, 128 (57%) had not taken any treatment, 28 went to a traditional birth attendant (TBA), and 47 (21%) consulted a doctor. Thirty-eight women were advised to have an operation, but only eight complied. Other treatments used by small numbers of women included the use of a ring pessary or alcohol-soaked swab and heel pressure technique. Reasons for non-consultation included shyness (80; 63%), lack of cooperation by the husband, lack of time (80; 63%) and lack of money (74; 58%). The prevalence of prolapse was significantly higher in women with higher parity. More than 7% of the women reported symptoms of uterine prolapse.
本研究的目的是估计自我报告的子宫脱垂患病率,并确定受访者的就医行为。本研究的参与者为1996年1月至2月印度昌迪加尔大杜马杰拉殖民地的已婚妇女。一名护生使用子宫脱垂指标症状清单对这些妇女进行逐户筛查。所有报告有此类症状的妇女都接受了进一步访谈。在接受调查的2990名妇女中,227名(7.6%)报告有子宫脱垂症状。在227名自我报告有子宫脱垂的妇女中,128名(57%)未接受任何治疗,28名去找了传统助产士(TBA),47名(21%)咨询了医生。38名妇女被建议进行手术,但只有8名遵从了建议。少数妇女使用的其他治疗方法包括使用环形子宫托或酒精浸泡的棉签以及足跟压迫技术。未咨询的原因包括害羞(80人;63%)、丈夫不配合、缺乏时间(80人;63%)和缺钱(74人;58%)。多产妇女的脱垂患病率显著更高。超过7%的妇女报告有子宫脱垂症状。