A Study of Prevalence and Associated Factors of Uterus Prolapse in Doti District of Nepal

Background: Uterus Prolapse is a condition in which uterus drops down from its normal position. In extreme stages, it out of the vagina; which constitute a widespread chronic problem in hilly regions of Nepal. Objective of the study was to estimate the prevalence of uterus prolapse and its associated factors in Doti district of Nepal.

Methodology: This was community based cross sectional study; conducted among the 360 women of the Doti district who were undergone a pregnancy at least once during her life. Three stage probability sampling procedure was adopted. Face to face interview was conducted with respondents using pre-tested, structured interview schedule. Data were analyzed by statistical package for Social Sciences (16 Version). Percentage, mean, were calculated and Chi Square test and R2 tests were applied.

Results: Nearly half of the respondents were over age 35 years with one in every five belongs to age group 21-25 years; and 33.3% were dalits/schedule castes. Majorities (75%) of the respondents were illiterate and housewives. Nearly 96% of the respondents were married before 20 years of age. Literacy status, caste, age of respondents, age at marriage, parity and time to resume work after delivery were independently and significantly associated with Uterus prolapse (p<0.05) where strongest variation was observed due to parity. Moreover, the type of delivery at first, second, third and fourth child birth, age at marriage, numbers of children, parity, age at first child births were observed to be strongly associated factors; that explained 40 percent variations in Uterus prolapse.

Conclusions: Illiterates and high parity women were suffered greatly from the Uterus prolapse. Women's empowerment, limiting frequent pregnancies and provision of educational opportunities are recommended for the prevention of uterus prolapse.