Prevalence of Pelvic Organ Prolapse and Its Relationship to Associated Risk Factors like Age, Parity and Mode of Delivery in a Rural Setting in Uttar Pradesh, India
Background: Pelvic organ prolapse (POP) is one of the most common gynaecological problems in India among parous, aged women. Although POP is not life-threatening if left untreated it may lead to many social issues and also reduces the quality of life of women.
Materials and Methods: Fifty parous women aged between 20 and 70 years with POP were studied and compared with 50 asymptomatic (controlled) groups. Various parameters of clinical manifestations, types of POP, age distribution, parity, visual analog scale (VAS) score, pelvic floor impact questionnaire 7 (PFIQ-7) were compared in both groups.
Results: Mode of delivery - 37 (74%) vaginal delivery, 09 (18%) lower segment Caesarean section, 4 (8%) forceps delivery observed in POP women. Utero –vaginal prolapse 17 (34%) followed by cystocoele 11 (22%), cystocoele and rectocele 9 (18%). Age distribution – more incidences were in 51–60 age group followed by 41–50 age groups. VAS score, 29 mild, 14 moderate, 7 severe in POP group. PFIQ-7 was more in POP group. Poor Socio-economic status, advancing age, vaginal home delivery and medical problems like cough and constipation were associated with higher incidence of POP.
Conclusion: POP is strongly associated with age, parity and place of delivery. POP reduces the social status and quality of life if untreated.
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