Prevalence and Factors Associated with Uterine Prolapse among Gynecologic Patients at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia

Abstract

Introduction: Uterine prolapse is one of the most common cause of reproductive health morbidity, particularly among adults and old women in developing countries. There is limited information on the magnitude and associated risk factors of uterine prolapse in Ethiopia. Therefore, the aim of this study was to identify the factors of uterine prolapse. Materials and methods: Hospital based retrospective study was conducted at University of Gondar comprehensive specialized hospital, Northwest, Ethiopia from July 1, 2014, to June 30, 2019. Computer based simple random sampling technique was used to select patient‘s cards. Bivariable and multivariable logistic regression analyses were performed. Statistical differences were considered at P<0.05. Results: The overall prevalence of uterine prolapse during the study period was 91(22.3%). Age (COR=5.12; 95% CI: 2.05, 12.78), residence (COR=5.83; 95% CI:2.66, 12.78), abortion history (COR=4.77; 95% CI:1.72, 13.23) and place of delivery (COR=2.76; 95% CI:1.14 6.69, 13.23) were factors significantly associated with uterine prolapse. Conclusions: This study reveals that nearly one fourth of women suffer with uterine prolapse. This finding indicated that uterine prolapse is a major public health issue in Ethiopia. Therefore, the local government should give emphasis for older and rural women. Health institution delivery should also be advocated to minimize the proportion of home deliveries.