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[Prolapse in the young woman: study of risk factors]
1Service de gynécologie-obstétrique, université Bichat-Beaujon, hôpital Beaujon, 100, bd du Général-Leclerc, 92110 Clichy, France. bruno.deval@bjn.ap-hop-paris.fr
Objective:
To determine the risk factors for genital prolapse in a group of 37 young women less than 45 years old.
Patients And Methods:
We studied 37 young women who had been operated for genital prolapse, whereas the control group consisted of women operated for benign gynaecologic disorders.
Results:
In the study group the number of pregnancies and deliveries, the babies' weight, the positive family history of prolapse were heavier than in the control group. The women with prolapse had more often chronic pulmonary diseases, asthma, as well as operations for abdominal hernias. The mode of delivery, be it a cesarean section or the use of forceps, and the active second stage of labor had no effect whatever on the occurring of genital prolapse in young women.
Conclusion:
Our data support the suggestion that multiparity, babies' weight and congenital factors are responsible for a higher rate of genital prolapse in young women.