BACKGROUND: Uterine prolapsed is a significant public health problem in Nepal. METHODS: The study was conducted in 50 women having second and third degree of uterus prolapse who were admitted in Dhulikhel Hospital for vaginal hysterectomy. A total 200 individual were taken as a control groups who were OPD attendants of Dhulikhel hospital without any sign or had no any sign and symptom of uterus prolapse . Data were collected by structured and semi-structured questionnaires and analysis done by using z test. RESULTS: The occurrence of uterus prolapse had significant difference among ethnicity (p value-<0.001), level of education (p value-<0.001) and occupation of respondents (p value-0.0000). There was no significant difference in the age at birth of first child between the groups (p value 0.138). Parity, gravida and age of the last child birth (p value-.040, .025, 003 respectively) comprised of significant differences. There was significant difference between duration of rest after delivery (zα=16.53), days of household work started (zα 14.24) and days of heavy load lifting started (zα 7.96) in case and control. CONCLUSIONS: The finding shows significant factors for uterus prolapse were parity, gravida and age at last birth and work after delivery. Therefore civil society and concerned authority should work to raise awareness on the preventive measure of uterus prolapsed.
BACKGROUND: Uterine prolapsed is a significant public health problem in Nepal. METHODS: The study was conducted in 50 women having second and third degree of uterus prolapse who were admitted in Dhulikhel Hospital for vaginal hysterectomy. A total 200 individual were taken as a control groups who were OPD attendants of Dhulikhel hospital without any sign or had no any sign and symptom of uterus prolapse . Data were collected by structured and semi-structured questionnaires and analysis done by using z test. RESULTS: The occurrence of uterus prolapse had significant difference among ethnicity (p value-<0.001), level of education (p value-<0.001) and occupation of respondents (p value-0.0000). There was no significant difference in the age at birth of first child between the groups (p value 0.138). Parity, gravida and age of the last child birth (p value-.040, .025, 003 respectively) comprised of significant differences. There was significant difference between duration of rest after delivery (zα=16.53), days of household work started (zα 14.24) and days of heavy load lifting started (zα 7.96) in case and control. CONCLUSIONS: The finding shows significant factors for uterus prolapse were parity, gravida and age at last birth and work after delivery. Therefore civil society and concerned authority should work to raise awareness on the preventive measure of uterus prolapsed.
Authors: Joseph R Fitchett; Surya Bhatta; Tenzing Y Sherpa; Bishwo S Malla; Elizabeth J A Fitchett; Arlene Samen; Sibylle Kristensen Journal: JRSM Open Date: 2015-11-03