Determinants of Pelvic Organ Prolapse at Public Hospitals in Hawassa City, Southern Ethiopia, 2020: Unmatched Case Control Study

2021 ◽  
Author(s):  
Bezabih Terefe Dora ◽  
Zemenu Yohannes Kassa ◽  
Nebiha Hadra ◽  
Bamlaku Birie Tsigie ◽  
Hawi Leul Esayas
Keyword(s):  
Pelvic Organ Prolapse ◽  
Obstetric Care ◽  
Work Load ◽  
Pelvic Organ ◽  
Care Providers ◽  
History Of ◽  
Obstetric Care Providers ◽  
Birth Space ◽  
Control Study ◽  
Fundal Pressure

Abstract Introduction: Even though the Pelvic organ prolapse (POP) is outstanding gynecologic problem, most private and asymptomatic nature of the illness makes it the “hidden epidemic.” The aim of this study was to identify the determinants of POP. Methods: Facility based unmatched case control study was conducted from June 15 to September 10, 2020. All cases diagnosed with POP were enrolled in the study by using consecutive random sampling method by assuming that patient flow by itself is random until the required sample size was obtained. Then 1:2 cases to control ratio was applied. A structured interviewer-administered questionnaire and chart review for type and degree of prolapse was used. Epi-data and SPSS were used for analysis. Chi square test and binary and multivariable logistic regression analysis was employed. Multicolinearity was checked. Result: On multivariate logistic regression, heavy usual work load(AOR=2.3, CI(1.066-4.951), number of pregnancy ≥ 5(AOR=3.911, CI(1.108-13.802), birth space of <2 years(AOR=2.88, CI(1.146-7.232), history of fundal pressure (AOR=5.312, CI(2.366-11.927) and history of induced labor (AOR=4.436, CI(2.07-9.505) were significantly associated with POP with P value <0.05 and 95% CI after adjusting for potential confounders.Conclusion: Heavy usual work load, having pregnancy greater than five, short birth space, history of induced labor, and history of fundal pressure are independent predictors of pelvic organ prolapse. Hence the responsible body and obstetric care providers should counsel the women about child spacing. The obstetric care providers also avoid fundal pressure and the hospital officials set a law to ban fundal pressure during labor.

Uterine rupture after the uterine fundal pressure maneuver

2015 ◽  
Vol 43 (6) ◽  
Author(s):  
Junichi Hasegawa ◽  
Akihiko Sekizawa ◽  
Isamu Ishiwata ◽  
Tomoaki Ikeda ◽  
Katsuyuki Kinoshita
Keyword(s):  
Amniotic Fluid ◽  
Maternal Death ◽  
Uterine Rupture ◽  
Obstetric Care ◽  
Care Providers ◽  
Comprehensive Education ◽  
Obstetric Care Providers ◽  
Serious Injury ◽  
And Training ◽  
Fundal Pressure

AbstractTo clarify the incidence of uterine fundal pressure at delivery and its effect on uterine rupture.A questionnaire was sent to 2518 institutions in Japan. We received a response from 1430.Of reporting institutions, 89.4% used fundal pressure in at least some of their deliveries. Among the 347,771 women who delivered vaginally in this study, 38,973 (11.2%) were delivered with the assistance of fundal pressure. There were six cases of uterine rupture associated with uterine fundal pressure, with one case resulting in maternal death secondary to amniotic fluid embolism.Since uterine fundal pressure may potentially cause serious injury to either the mother and/or neonates, the indications for application need to be clearly elucidated, and obstetric care providers also need comprehensive education and training.

scholarly journals Factors Associated with Pelvic Organ Prolapse in Eastern Region of Nepal: A Case Control Study

2020 ◽  
Vol 18 (3) ◽  
pp. 416-421
Author(s):  
Dharti Joshi ◽  
Nilambar Jha ◽  
Ishwari Sharma Paudel ◽  
Mohan Chandra Regmi ◽  
Avaniendra Chakravartty
Keyword(s):  
Pelvic Organ Prolapse ◽  
Case Control Study ◽  
Pelvic Organ ◽  
Case Control ◽  
Heavy Load ◽  
Factors Associated ◽  
First Child ◽  
Load Carrying ◽  
History Of ◽  
Control Study

Background: Pelvic organ prolapse is a significant public health problem in Nepal affecting a large number of women. This study was carried out to identify the factors associated with pelvic organ prolapse among the women of eastern part of Nepal. Methods: This was a matched case–control study. Cases were women aged ?15 years with at least one parity having stage 2 and above pelvic organ prolapse attending Gynecology OPD of BP Koirala Institute of Health Sciences, Dharan and the control were the women without prolapse with at least one parity in neighborhood matched with age. A total of 230 respondents (1 Case:1 Control) were included in the study. A semi structured interview was carried out to obtain the information for both groups. Bivariate analysis along with conditional logistic regression analysis was carried out to identify the association between selected variables with pelvic organ prolapse. Results: We found a significant association between age at first child birth (OR 1.98, CI 1.06-3.68), heavy load carrying during pregnancy (OR 3.97, CI 1.93-8.16), smoking (OR 3.49, CI 1.42, CI 8.61) and history of constipation (OR 3.57, CI 1.13-11.22) with pelvic organ prolapse. Conclusions: The finding showed that the significant factors for prolapse were age at first child birth, heavy load carrying during pregnancy, smoking and history of constipation. Keywords: Associated factors; case control study; matching; pelvic organ prolapse

HUBUNGAN ANTARA USIA, PARITAS, PEKERJAAN DAN INDEK MASSA TUBUH DENGAN KEJADIAN PROLAP ORGAN PANGGUL BERDASARKAN SKOR PELVIC ORGAN PROLAPSE QUANTIFICATION

2019 ◽  
Vol 2 (1) ◽  
pp. 39-44
Author(s):  
Ermawati Ermawati ◽  
Hafni Bachtiar
Keyword(s):  
Pelvic Organ Prolapse ◽  
Case Control Study ◽  
Pelvic Organ ◽  
Case Control ◽  
T Test ◽  
Pelvic Organ Prolapse Quantification ◽  
Chi Square ◽  
Chi Square Test ◽  
Control Study

Prolap organ panggul merupakan kondisi yang mempengaruhi kualitas hidup wanita. Prolaps organ panggul ini dapat disebabkan oleh perlukaan sewaktu proses persalinan, proses penuaan, komposisi jaringan pada seorang wanita, batuk- batuk kronis, atau sering melakukan pekerjaan berat. Pengenalan dini prolaps terkait dengan prognosis pemulihan anatomik dan fungsional organ panggul. Hingga kini, penerapannya dalam dunia klinis belum banyak sehingga pelatihan dan pembelajaran lebih lanjut tentang pelvic organ prolapse quantification (POPQ) jelas diperlukan. Penelitian ini dilakukan dengan metode case control study di polikilinik Obgin RSUP. Dr. M. Djamil Padang mulai bulan September 2013 sampai jumlah sampel terpenuhi sebanyak 98 orang. Dengan 49 orang kelompok kontrol dan 49 orang kelompok kasus .Analisis dilakukan untuk menilai hubungan usia, paritas, pekerjaan dan indek massa tubuh dengan kejadian prolap organ panggul berdasarkan skor POPQ. Data disajikan dalam bentuk tabel. Data diuji dengan t test dan chi square test. Jika p<0,05 menunjukan hasil yang bermakna. Terdapat hubungan yang bermakna antara usia dengan kejadian prolap organ panggul dengan (p<0,05) dan OR 27,871.terdapat hubungan yang bermakna antara paritas dengan kejadian prolap organ panggul dengan (p<0,05) dan OR 52,970.Dari analisa statistik pekerjaan tidak bisa di uji secara statistik.indek massa tubuh tidak terdapat hubungan yang bermakna terhadap kejadian prolap organ panggul.(p>0,05)

FRII-07 THE HISTORY OF PELVIC ORGAN PROLAPSE FROM ANTIQUITY TO PRESENT DAY

2015 ◽  
Vol 193 (4S) ◽  
Author(s):  
John Mattimore ◽  
Philippa Cheetham ◽  
Aaron Katz
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
History Of

Anxiety, Depression, and Pain in the Perinatal Period: A Review for Obstetric Care Providers

2021 ◽  
Vol 76 (11) ◽  
pp. 692-713
Author(s):  
Pa Ta Xiong ◽  
John Poehlmann ◽  
Zachary Stowe ◽  
Kathleen M. Antony
Keyword(s):  
Obstetric Care ◽  
Perinatal Period ◽  
Care Providers ◽  
Obstetric Care Providers ◽  
Anxiety Depression

History of cervical insufficiency increases the risk of pelvic organ prolapse and stress urinary incontinence in parous women

Maturitas ◽  
2018 ◽  
Vol 107 ◽  
pp. 63-67 ◽  
Author(s):  
David Sheyn ◽  
Kateena L. Addae-Konaedu ◽  
Alison M. Bauer ◽  
Konyinsola I. Dawodu ◽  
David N. Hackney ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Organ Prolapse ◽  
Stress Urinary Incontinence ◽  
Pelvic Organ ◽  
Cervical Insufficiency ◽  
History Of

Outcomes of observation as therapy for pelvic organ prolapse: A study in the natural history of pelvic organ prolapse

2012 ◽  
Vol 32 (4) ◽  
pp. 383-386 ◽  
Author(s):  
Alienor S. Gilchrist ◽  
William Campbell ◽  
Hannah Steele ◽  
Hema Brazell ◽  
Jonathon Foote ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Natural History ◽  
Pelvic Organ ◽  
History Of

scholarly journals Asthma in pregnancy: An update

2020 ◽  
pp. 1753495X2096507
Author(s):  
Simon Couillard ◽  
Clare Connolly ◽  
Catherine Borg ◽  
Ian Pavord
Keyword(s):  
Asthma Management ◽  
Obstetric Care ◽  
Asthma Patient ◽  
Convincing Evidence ◽  
Care Providers ◽  
Inhaled Steroids ◽  
Obstetric Care Providers ◽  
New Biomarkers ◽  
Blood Eosinophils ◽  
In Pregnancy

Aim To update obstetric care providers about asthma management. Summary Asthma is the most frequent comorbid chronic illness in pregnancy. Convincing evidence shows that uncontrolled asthma magnifies the risk of maternal, fetal and neonate complications. Unfortunately, one in four women take no inhaler during pregnancy, and it is likely that decreased adherence, rather than changes in pathology, explains uncontrolled maternal asthma. Patient surveys reveal a need for information and reassurance. Although some molecules are preferred in pregnancy, there is currently no basis to withhold any asthma medication – old or new. Biomarkers such as blood eosinophils and fractional exhaled nitric oxide are an effective way to assess the risk of asthma attacks and the likelihood of responding to inhaled steroids. Furthermore, practice-changing trials in mild asthma show that switching reliever-only regimens to as-needed ‘controller-and-reliever’ therapy is effective. We suggest that applying these changes can alleviate women’s concerns and improve outcomes.

Recurrent Pelvic Organ Prolapse in a Patient With History of Bladder Exstrophy

2012 ◽  
Vol 18 (1) ◽  
pp. 61-63 ◽  
Author(s):  
Yuen-Ting Diana Kwong ◽  
Leise R. Knoepp ◽  
Edward James Wright ◽  
Chi Chiung Grace Chen
Keyword(s):  
Pelvic Organ Prolapse ◽  
Bladder Exstrophy ◽  
Pelvic Organ ◽  
Recurrent Pelvic Organ Prolapse ◽  
History Of
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