Department of Gynaecology and Obstetrics, Faculty of Medicine, University Notre-Dame of Kasayi, Central Kasaï, Democratic Republic of the Congo.
Department of Gynaecology and Obstetrics, Faculty of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of the Congo.
Pan Afr Med J. 2021 Dec 16;40:234. doi: 10.11604/pamj.2021.40.234.30529. eCollection 2021.
the aim of this study was to identify factors associated with genital prolapse in the gynecology and obstetrics service of Saint Joseph hospital of Kinshasa.
this was a retrospective case-control study conducted from 148 medical files of patients admitted in the gynecology and obstetrics service of Saint Joseph hospital from January 1, 2008 to December 31, 2017. It was based on the non-probabilistic sampling of suitability for cases selection. The T-student test, Chi-test and logistic regression were used in statistical analyses.
five factors independently associated with genital prolapse were identifying: obesity with BMI≥30Kg/m(OR: 3.770, 95% CI: 1.040-9.250; p=0.001), menopause (OR: 1.910, 95% CI: 1.090-10.930; p=0.001), fœtal macrosomia (OR: 4.290, 95% CI: 3.320-5.550; p=0.000), vaginal delivery (OR: 2.070, 95% CI: 1.010-5.210; p=0.006) and perineal tears (OR: 1.510, 95% CI: 1.250-1.910; p=0.000).
these factors independently associated with genital prolapse can be used for screening of high-risk women in gynecological and obstetrical consultations in order to improve the treatment of genital prolapse in our milieu.
本研究旨在确定金沙萨圣若瑟医院妇产科患者发生生殖器脱垂的相关因素。
这是一项回顾性病例对照研究，纳入了 2008 年 1 月 1 日至 2017 年 12 月 31 日期间在圣若瑟医院妇产科住院的 148 例患者的病历。采用适合病例选择的非概率抽样。统计学分析采用 T 检验、卡方检验和逻辑回归。
有五个因素与生殖器脱垂独立相关：体重指数（BMI）≥30kg/m2（OR：3.770，95%CI：1.040-9.250；p=0.001）、绝经（OR：1.910，95%CI：1.090-10.930；p=0.001）、胎儿巨大儿（OR：4.290，95%CI：3.320-5.550；p=0.000）、阴道分娩（OR：2.070，95%CI：1.010-5.210；p=0.006）和会阴撕裂（OR：1.510，95%CI：1.250-1.910；p=0.000）。
这些与生殖器脱垂独立相关的因素可用于妇科和产科咨询中的高危妇女筛查，以改善我们环境中生殖器脱垂的治疗效果。
