One in ten ever-married women who visited health facilities for various reasons have pelvic organ prolapse in Harari regional state, Eastern Ethiopia

Abstract Background 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...

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Main Authors: Dawit Abebe, Mohammed Abdurke Kure, Enku Afework Demssie, Sinetibeb Mesfin, Melake Demena, Merga Dheresa
Format: Article
Language:English
Published: BMC 2022-06-01
Series:BMC Women's Health
Subjects:
Online Access:https://doi.org/10.1186/s12905-022-01817-8
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author Dawit Abebe
Mohammed Abdurke Kure
Enku Afework Demssie
Sinetibeb Mesfin
Melake Demena
Merga Dheresa
author_facet Dawit Abebe
Mohammed Abdurke Kure
Enku Afework Demssie
Sinetibeb Mesfin
Melake Demena
Merga Dheresa
author_sort Dawit Abebe
collection DOAJ
description Abstract Background 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. Methods 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. Result 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. Conclusion 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.
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spelling doaj.art-3761b6b268b4490aa829b1cbbcd89b9a2022-12-22T00:38:01ZengBMCBMC Women's Health1472-68742022-06-012211910.1186/s12905-022-01817-8One in ten ever-married women who visited health facilities for various reasons have pelvic organ prolapse in Harari regional state, Eastern EthiopiaDawit Abebe0Mohammed Abdurke Kure1Enku Afework Demssie2Sinetibeb Mesfin3Melake Demena4Merga Dheresa5School of Nursing and Midwifery, College of Medicine and Health Sciences, Jigjiga UniversitySchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya UniversityDepartment of Public Health, Adama General Hospital and Medical CollegeSchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya UniversitySchool of Public Health, College of Health and Medical Sciences, Haramaya UniversitySchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya UniversityAbstract Background 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. Methods 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. Result 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. Conclusion 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.https://doi.org/10.1186/s12905-022-01817-8Pelvic organ prolapseAssociated factorsRisk factorsEastern Ethiopia
spellingShingle Dawit Abebe
Mohammed Abdurke Kure
Enku Afework Demssie
Sinetibeb Mesfin
Melake Demena
Merga Dheresa
One in ten ever-married women who visited health facilities for various reasons have pelvic organ prolapse in Harari regional state, Eastern Ethiopia
BMC Women's Health
Pelvic organ prolapse
Associated factors
Risk factors
Eastern Ethiopia
title One in ten ever-married women who visited health facilities for various reasons have pelvic organ prolapse in Harari regional state, Eastern Ethiopia
title_full One in ten ever-married women who visited health facilities for various reasons have pelvic organ prolapse in Harari regional state, Eastern Ethiopia
title_fullStr One in ten ever-married women who visited health facilities for various reasons have pelvic organ prolapse in Harari regional state, Eastern Ethiopia
title_full_unstemmed One in ten ever-married women who visited health facilities for various reasons have pelvic organ prolapse in Harari regional state, Eastern Ethiopia
title_short One in ten ever-married women who visited health facilities for various reasons have pelvic organ prolapse in Harari regional state, Eastern Ethiopia
title_sort one in ten ever married women who visited health facilities for various reasons have pelvic organ prolapse in harari regional state eastern ethiopia
topic Pelvic organ prolapse
Associated factors
Risk factors
Eastern Ethiopia
url https://doi.org/10.1186/s12905-022-01817-8
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