Pelvic Organ Prolapse And Assocated Factors Among Women Who Had Major Gynecological Surgeies In Wolayita Sodo Unversity Teaching And Referral Hospital,SNNPR,Ethiopia

Abstract

Background: Pelvic organ prolapse is a common health problem affecting up to 50% of parous women with significant negative influence on their general health and quality of life. It is defined as down ward descent of pelvic organs as a result of weakness or damage to pelvic floor support structures. It is one of the major indications for major gynaecological surgeries. Objectives: To assess the prevalence of pelvic organ prolapse and associated factors. Methods: Hospital based cross sectional study was conducted by using both quantitative and qualitative methods of data collection. Data was collected from records of gynaecological cases managed in Wolayita Sodo University teaching and referral hospital from April1, 2012 to March 31, 2015. A sample of 341 medical cards were included, data collection format containing list of study variables were used during record review and an in-depth interview was conducted with 10 conveniently selected women who were diagnosed with POP and interviewed before the surgical intervention where their card numbers were included in the sampling frame for quantitative study . The data was entered in to EPI-data 3.1, analysed by using SPSS computer software version 20.0. Frequency tables, graphs and descriptive summaries were used to present the result, multivariate logistic regression was done to look for association between dependent and independent variables. Variables were considered as significant where p<0.05 in multivariate logistic regression. Result: Findings of this study has shown that the prevalence of pelvic organ prolapse was 216(66.9%) out of 323 major gynaecological surgeries. In multivariate analysis; age of women, residence, occupation, parity, place of delivery shows statistically significant association at (P-value <0.05). Conclusion and recommendation: This study has shown that majority of women were from rural areas and farmers who spend their time by working hard in farm land and at home, grand multiparous and those who delivered at home without the assistance of skilled birth attendants. Health education on risk factors, prevention of POP and availability of treatment and helping women to get treatment, empowering women in education, decision making on their fertility choices, income generation activities and raising awareness of women on family planning and institutional delivery were strongly recommended.