Pelvic Organ Prolapse and its Associated Factors Among Women: A Facility Based Cross-sectional Study

Pelvic organ prolapse is the downward descent of female organs, including the bladder, small bowel, and large bowel, resulting in the protrusion of the vagina, uterus, or both. This disorder, exclusive to women, causes psychological trauma and social withdrawal, leading to an increased rate of gynec...

Full description

Bibliographic Details
Main Authors: Adamu Merga Msc, Kebebe Bidira Msc, Abdi Geda MPH, Desalegn Nigatu Msc, Ebissa Bayana Msc
Format: Article
Language:English
Published: SAGE Publishing 2023-12-01
Series:Inquiry: The Journal of Health Care Organization, Provision, and Financing
Online Access:https://doi.org/10.1177/00469580231219155
_version_ 1797389785218678784
author Adamu Merga Msc
Kebebe Bidira Msc
Abdi Geda MPH
Desalegn Nigatu Msc
Ebissa Bayana Msc
author_facet Adamu Merga Msc
Kebebe Bidira Msc
Abdi Geda MPH
Desalegn Nigatu Msc
Ebissa Bayana Msc
author_sort Adamu Merga Msc
collection DOAJ
description Pelvic organ prolapse is the downward descent of female organs, including the bladder, small bowel, and large bowel, resulting in the protrusion of the vagina, uterus, or both. This disorder, exclusive to women, causes psychological trauma and social withdrawal, leading to an increased rate of gynecologic surgery. To assess the Pelvic Organ Prolapse and its associated factors among Women Visiting public Hospitals in south west Ethiopia. An institution-based cross-sectional study was conducted among gynecologic patients. A total sample size of 408 was allocated to the institutions proportional to their previous month’s case load. Data were collected using an interviewer-administered structured questionnaire. The collected data were coded and entered into EpiData version 3.1, then exported to SPSS version 20 for descriptive and inferential analysis. Adjusted odds ratios (AOR) along with a 95% confidence level were estimated, and a P -value < .05 was considered statistically significant. Out of the intended sample size, 393 women participated in the study, resulting in a response rate of 96.3%. The overall magnitude of pelvic organ prolapse among the study participants was 19.8% (95% CI: 16.0, 24.1). Factors significantly associated with pelvic organ prolapse were place of residence (AOR = 2.21, 95% CI: 1.11, 4.40), parity (AOR = 2.82, 95% CI: 1.39, 5.72), age at first pregnancy (AOR = 2.32, 95% CI: 1.27, 4.26), and place of delivery of the first child (AOR = 4.18, 95% CI: 1.97, 8.85). The prevalence of pelvic organ prolapse is high. Place of residence, parity, age at first pregnancy, and place of delivery of the first child were factors significantly associated with pelvic organ prolapse. Therefore, different stakeholders, programmers, and implementers should take aggressive steps to prevent early pregnancy, train health professionals to encourage women to use family planning, and promote institutional delivery.
first_indexed 2024-03-08T23:01:02Z
format Article
id doaj.art-fc01bb5c56604306b8ac85a6ddbb9f31
institution Directory Open Access Journal
issn 0046-9580
1945-7243
language English
last_indexed 2024-03-08T23:01:02Z
publishDate 2023-12-01
publisher SAGE Publishing
record_format Article
series Inquiry: The Journal of Health Care Organization, Provision, and Financing
spelling doaj.art-fc01bb5c56604306b8ac85a6ddbb9f312023-12-15T21:08:16ZengSAGE PublishingInquiry: The Journal of Health Care Organization, Provision, and Financing0046-95801945-72432023-12-016010.1177/00469580231219155Pelvic Organ Prolapse and its Associated Factors Among Women: A Facility Based Cross-sectional StudyAdamu Merga Msc0Kebebe Bidira Msc1Abdi Geda MPH2Desalegn Nigatu Msc3Ebissa Bayana Msc4Mettu Karl Comprehensive Hospital, Mettu, EthiopiaMettu University, Mettu, EthiopiaMettu University, Mettu, EthiopiaMettu University, Mettu, EthiopiaJimma University, Jimma, EthiopiaPelvic organ prolapse is the downward descent of female organs, including the bladder, small bowel, and large bowel, resulting in the protrusion of the vagina, uterus, or both. This disorder, exclusive to women, causes psychological trauma and social withdrawal, leading to an increased rate of gynecologic surgery. To assess the Pelvic Organ Prolapse and its associated factors among Women Visiting public Hospitals in south west Ethiopia. An institution-based cross-sectional study was conducted among gynecologic patients. A total sample size of 408 was allocated to the institutions proportional to their previous month’s case load. Data were collected using an interviewer-administered structured questionnaire. The collected data were coded and entered into EpiData version 3.1, then exported to SPSS version 20 for descriptive and inferential analysis. Adjusted odds ratios (AOR) along with a 95% confidence level were estimated, and a P -value < .05 was considered statistically significant. Out of the intended sample size, 393 women participated in the study, resulting in a response rate of 96.3%. The overall magnitude of pelvic organ prolapse among the study participants was 19.8% (95% CI: 16.0, 24.1). Factors significantly associated with pelvic organ prolapse were place of residence (AOR = 2.21, 95% CI: 1.11, 4.40), parity (AOR = 2.82, 95% CI: 1.39, 5.72), age at first pregnancy (AOR = 2.32, 95% CI: 1.27, 4.26), and place of delivery of the first child (AOR = 4.18, 95% CI: 1.97, 8.85). The prevalence of pelvic organ prolapse is high. Place of residence, parity, age at first pregnancy, and place of delivery of the first child were factors significantly associated with pelvic organ prolapse. Therefore, different stakeholders, programmers, and implementers should take aggressive steps to prevent early pregnancy, train health professionals to encourage women to use family planning, and promote institutional delivery.https://doi.org/10.1177/00469580231219155
spellingShingle Adamu Merga Msc
Kebebe Bidira Msc
Abdi Geda MPH
Desalegn Nigatu Msc
Ebissa Bayana Msc
Pelvic Organ Prolapse and its Associated Factors Among Women: A Facility Based Cross-sectional Study
Inquiry: The Journal of Health Care Organization, Provision, and Financing
title Pelvic Organ Prolapse and its Associated Factors Among Women: A Facility Based Cross-sectional Study
title_full Pelvic Organ Prolapse and its Associated Factors Among Women: A Facility Based Cross-sectional Study
title_fullStr Pelvic Organ Prolapse and its Associated Factors Among Women: A Facility Based Cross-sectional Study
title_full_unstemmed Pelvic Organ Prolapse and its Associated Factors Among Women: A Facility Based Cross-sectional Study
title_short Pelvic Organ Prolapse and its Associated Factors Among Women: A Facility Based Cross-sectional Study
title_sort pelvic organ prolapse and its associated factors among women a facility based cross sectional study
url https://doi.org/10.1177/00469580231219155
work_keys_str_mv AT adamumergamsc pelvicorganprolapseanditsassociatedfactorsamongwomenafacilitybasedcrosssectionalstudy
AT kebebebidiramsc pelvicorganprolapseanditsassociatedfactorsamongwomenafacilitybasedcrosssectionalstudy
AT abdigedamph pelvicorganprolapseanditsassociatedfactorsamongwomenafacilitybasedcrosssectionalstudy
AT desalegnnigatumsc pelvicorganprolapseanditsassociatedfactorsamongwomenafacilitybasedcrosssectionalstudy
AT ebissabayanamsc pelvicorganprolapseanditsassociatedfactorsamongwomenafacilitybasedcrosssectionalstudy