School of Nursing and Midwifery, College of Medicine and Health Sciences, Jigjiga University, Jigjiga, Ethiopia.
School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
BMC Womens Health. 2022 Jun 11;22(1):223. doi: 10.1186/s12905-022-01817-8.
Pelvic organ prolapse remains a neglected public health problem in developing countries. The burden of pelvic organ prolapse varies by region and ranges from 9 to 20%. It poses an impact on women's quality of life and affects their role at the community and family level. Although it has negative consequences and extensive burden, the true feature of pelvic organ prolapse is not well known among ever-married women attending health facilities for various reasons in the study area. Therefore, this study was aimed to assess the magnitude of pelvic organ prolapse and associated factors among ever-married women attending health care services in public Hospitals, Eastern Ethiopia.
A facility-based cross-sectional study design was conducted from March 4th to April 5th, 2020 among 458 ever-married women attending public Hospitals in Harar town, Eastern Ethiopia. The study subjects were selected through systematic sampling. The data were collected using a structured questionnaire through face-to-face interviews. Data were analyzed using SPSS version 22 (IBM SPSS Statistics, 2013). The prevalence was reported by proportion and summary measures. Predictors were assessed using a multivariable logistic regression analysis model and reported using an adjusted odds ratio with 95% CI. Statistical significance was declared at p-value < 0.05.
Of 458 women enrolled in the study, 10.5% of them had pelvic organ prolapse based on women's reporting of symptoms. History of lifting heavy objects [AOR = 3.22, 95% CI (1.56, 6.67)], history of chronic cough [AOR = 2.51, 95% CI (1.18, 5.31)], maternal age of greater than or equal to 55 years [AOR = 3.51, 95% CI (1.04, 11.76)], history chronic constipation (AOR = 3.77, 95% CI (1.54, 9.22) and no history of contraceptive utilization [AOR = 2.41, 95% CI (1.13, 5.05)] were significantly associated with pelvic organ prolapse.
In this study, one in ten ever-married women who visited health facilities for various reasons have pelvic organ prolapse. Modifiable and non-modifiable risk factors were identified. This result provides a clue to give due consideration to primary and secondary prevention through various techniques.
盆腔器官脱垂仍然是发展中国家被忽视的公共卫生问题。盆腔器官脱垂的负担因地区而异，范围在 9%至 20%之间。它对妇女的生活质量产生影响，并影响她们在社区和家庭层面的角色。尽管它有负面影响和广泛的负担，但在研究地区因各种原因到保健机构就诊的已婚妇女中，盆腔器官脱垂的真实特征并不为人所知。因此，本研究旨在评估在埃塞俄比亚东部哈勒尔镇的公立医院就诊的已婚妇女中盆腔器官脱垂的程度及其相关因素。
这是一项 2020 年 3 月 4 日至 4 月 5 日在哈勒尔镇公立医院就诊的 458 名已婚妇女中进行的基于设施的横断面研究。通过系统抽样选择研究对象。通过面对面访谈使用结构化问卷收集数据。使用 SPSS 版本 22（IBM SPSS Statistics，2013）进行数据分析。通过比例和汇总措施报告患病率。使用多变量逻辑回归分析模型评估预测因子，并使用调整后的优势比和 95%置信区间报告。p 值<0.05 被认为具有统计学意义。
在纳入研究的 458 名妇女中，根据妇女报告的症状，有 10.5%的妇女患有盆腔器官脱垂。举重物的病史 [比值比（AOR）=3.22，95%置信区间（CI）（1.56，6.67）]、慢性咳嗽史 [AOR=2.51，95%CI（1.18，5.31）]、母亲年龄≥55 岁 [AOR=3.51，95%CI（1.04，11.76）]、慢性便秘史（AOR=3.77，95%CI（1.54，9.22）]和无避孕史 [AOR=2.41，95%CI（1.13，5.05）]与盆腔器官脱垂显著相关。
在这项研究中，因各种原因到保健机构就诊的已婚妇女中，每 10 人就有 1 人患有盆腔器官脱垂。确定了可改变和不可改变的危险因素。这一结果为通过各种技术给予初级和二级预防以应有的重视提供了线索。
