Prevalence and Associated Factors of Utero-Vaginal Prolapse at Gov ernmental Hospitals in Addis Ababa, Ethiopia: A Cross-Sectional Study

Zelalem Mekuria Bitew; Girma Seyoum Gedion; Abera Nesru; Abdu Mengesha Mulat

Authors

Zelalem Mekuria Bitew Department of Anatomy, school of Medicine, College of Health Sciences, Addis Ababa University, Ethiopia Author
Girma Seyoum Gedion Department of Anatomy, school of Medicine, College of Health Sciences, Addis Ababa University, Ethiopia Author
Abera Nesru Department of Anatomy, school of Medicine, College of Health Sciences, Addis Ababa University, Ethiopia Author
Abdu Mengesha Mulat Department of Obstetrics and Gynecology, school of Medicine, College of Health Sciences, Addis Ababa University, Ethiopia Author

Keywords:

Utero-vaginal prolapse, Risk factors, Ethiopia

Abstract

Graphical abstract

Background: Uterovaginal prolapse (UVP) is a major women’s health concern throughout the world. Globally, 2-20% of all women are affected by uterovaginal prolapse. The mean prevalence of pelvic organ prolapse in developing countries is 19.7%. The prev alence of utero vaginal prolapse among all gynecological operations in Ethiopia is 18.55%. Uterovaginal prolapse is a source of severe morbidity and psychological upheaval to the patient. It negatively affects socioeconomic and reproductive activity of affected women. Methodology: institution based cross-sectional study was employed retrospectively in Addis Ababa city governmental hospitals by reviewing the medical chart of women admitted in gynecology ward for two years, from March 2017 to February 2019 G.C. A randomly selected 400 medical charts of women admitted in gynecology wards were included in the study. The data was entered to EpiData 4.4 and analyzed using SPSS version 24 statistical package. Bivariate and multivariate logistic regression were carried out. Result: The prevalence of utero-vaginal prolapse is 12.8 % per total number of patients who admitted at gynecology ward of Addis Ababa city governmental hospitals. The determinants of utero-vaginal prolapse were menopause (AOR = 2.611), age > 40 years (AOR = 2.143), parity of >4 (AOR = 4.201), age at first delivery <20 years old (AOR = 7.988) and home delivery (AOR = 1.380). Conclusion: the prevalence of uterovaginal prolapse in this study was high. The leading determinants were menopause, having >4 deliveries, age >40 years, age at first delivery <20 years old and home delivery.

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