Magnitude and associated factors of Utero-vaginal Prolapse among women’s visiting gynecology ward from 2016-2019 at Dilla Referral Hospital, southern Ethiopia

Abstract

Background: Utero-vaginal prolapse (UVP) is the herniation of the uterus and all vaginal segments wall. It is a major women’s health concern throughout the world. Globally, 2-20% of all women are affected by utero-vaginal prolapse. The prevalence of utero-vaginal prolapse in Ethiopia is 18.55% among all gynecological operations. Despite the fact, there is no enough study conducted in southern Ethiopia, therefore, this study aimed to assess the prevalence and associated

factors of utero-vaginal prolapse among patients admitted at gynecological ward in Dilla University Referral Hospital, Dilla town, southern Ethiopia, 2020.

Methods: This study was an institutional-based retrospective cross-sectional conducted in Dilla University Referral Hospital from records. We included 257 gynecologic ward admitted patients chart which were selected, using systematic sampling from 1864 charts from September 2016 to June 2019. The study was conducted from December 2019 to September 2020 at Dilla University referral Hospital (DURH). We used SPSS version 22 for data entry and analysis. A bi variable and multi-variable logistic regression (95% CI, p<0.05) were conducted to identify the factors associated with Utero-vaginal prolapse. Descriptive statistics, such as frequency, percentage, and tables were used to display the result.

Result: This study found that 27 (10.5%) of the participants had utero-vaginal prolapse. The predictor variables for utero-vaginal prolapse were absence of perianal tear [AOR= 0.016; 95% CI (0.001, 0.506)], absence of chronic constipation [AOR= 0.015; 95% CI (0.001, 0.528)], absence of chronic cough [AOR= 0.020; 95% CI (0.001, 0.749)], and having no family history of UVP [AOR= 0.031; 95% CI (0.004, 0.230)] decreased the risk of UVP.

Conclusion: This study identified that one-fourth of the participants had Utero vaginal prolapse. This study also identified modifiable factors related with the outcome variable. Therefore, giving special attention, creating awareness, and working on those risk factors is crucial for the prevention and management of utero-vaginal prolapse.

Keywords: Gynecology ward, South Ethiopia, Utero-vaginal prolapse, Women