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Associated factors for uterine prolapse.

S Gautam¹, R K Adhikari, A Dangol

¹Program KUSMS. Shantagautam31@yahoo.com

Journal of Nepal Health Research Council

|August 30, 2012

Summary

Uterine prolapse in Nepal is linked to ethnicity, education, occupation, and childbirth factors like parity and gravida. Early return to household work and heavy lifting after delivery significantly increase risk.

Area of Science:

Public Health
Gynecology
Epidemiology

Background:

Uterine prolapse presents a significant public health challenge in Nepal.
The condition affects women's quality of life and healthcare systems.

Purpose of the Study:

To identify risk factors associated with uterine prolapse in Nepalese women.
To inform preventive strategies and public health interventions.

Main Methods:

A case-control study involving 50 women with uterine prolapse undergoing vaginal hysterectomy and 200 controls.
Data collection through structured and semi-structured questionnaires.
Statistical analysis using z-test to compare groups.

Main Results:

Significant associations found between uterine prolapse and ethnicity, education level, and occupation (p<0.001).

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Parity, gravida, and age at last childbirth were significant risk factors (p<0.05).

Early resumption of household work and heavy lifting post-delivery showed significant differences (p<0.05).

Conclusions:

Key risk factors for uterine prolapse include parity, gravida, age at last birth, and early return to work post-delivery.
Public health awareness campaigns on preventive measures are crucial.
Targeted interventions for high-risk groups are recommended.