Advertisement

International Urogynecology Journal

, Volume 18, Issue 11, pp 1343–1346 | Cite as

Risk factors for uterine prolapse in Nepal

  • Barbara Bodner-Adler
  • Chanda Shrivastava
  • Klaus Bodner
Original Article

Abstract

Uterine prolapse is a significant public health problem in Nepal. The aim of this study was to determine the prevalence of uterine prolapse and to define possible risk factors for this disease in the Kathmandu Valley of Nepal. This clinical report consists of an analysis of data from Dr. Iwamura Memorial Hospital and Research Center (IMHARC) in Bhaktapur, between July 1 and September 30, 2006. This analysis was restricted to a sample that included all women with complaints of uterine prolapse (second- or third-degree prolapse) diagnosed and treated at the IMHARC. During a 3-month period, 96 women were diagnosed and treated with uterine prolapse. The median age at the time of clinical presentation was 50 years, and the median maternal weight was 45 kg. In average, the women gave birth to four children vaginally. Most of the affected women were smoking, and most of them were postmenopausal. Thirty-five percent of the affected patients had a chronic obstructive pulmonary disease (COPD), 16% suffered from hypertension and 5% had diabetes mellitus. The majority of the women with uterine prolapse were of Newari origin (84%), and nearly all patients reported that they were working heavily during pregnancy as well as in the postpartum period (87%). We found several risk factors for uterine prolapse in Nepal. Especially extensive physical labor during pregnancy and immediately after delivery, low availability of skilled birth attendants, smoking while having COPD and low maternal weight due to lack of nutritious food are mainly responsible for this common disease. In our opinion, extensive information, prevention programs and early management of genital prolapse should be the first steps to reduce this significant social and public health problem in Nepal.

Keywords

Uterine prolapse Risk factors Nepal 

References

  1. 1.
    Bonetti TR, Erpelding A, Pathak LR (2004) Listening to “felt need”: investigating genital prolapse in western Nepal. Reprod Health Matters 12(23):166–175PubMedCrossRefGoogle Scholar
  2. 2.
    Westergren Söderberg M, Falconer C, Byström B, Malmström A, Ekman G (2004) Young women with genital prolapse have a low collagen concentration. Acta Obstet Gynecol Scand 83:1193–1198PubMedCrossRefGoogle Scholar
  3. 3.
    Center for Agro-Ecology and Development (CAED) (2006) Uterine prolapse widespread. Post Report. NepalGoogle Scholar
  4. 4.
    Subba B, Adhikari D, Bhattarai T (2003) The neglected case of the fallen womb. Himal South Asian, NepalGoogle Scholar
  5. 5.
    Marahatta RK, Shah A (2003) Genital prolapse in women of Bhaktapur, Nepal. Nepal Med Coll J 5(1):31–33PubMedGoogle Scholar
  6. 6.
    Samuelsson EC, Victor FT, Tibblin G, Svardsudd KF (1999) Signs of genital prolapse in a Swedish population of women 20–59 years of age and possible related factors. Am J Obstet Gynecol 180:299–305PubMedCrossRefGoogle Scholar
  7. 7.
    Swift SE (2000) The distribution of pelvic organ support in a population of female subjects seen for routine gynecologic health care. Am J Obstet gynecol 183(2):277–285PubMedCrossRefGoogle Scholar
  8. 8.
    Progetto Menopausa Italia Study Group (2000) Risk factors for genital prolapse in non-hysterectomized women around menopause. Results from a large cross-sectional study in menopausal clinics in Italy. Eur J Obstet Reprod Biol 93(2):135–140CrossRefGoogle Scholar

Copyright information

© International Urogynecology Journal 2007

Authors and Affiliations

  • Barbara Bodner-Adler
    • 1
    • 2
  • Chanda Shrivastava
    • 1
  • Klaus Bodner
    • 1
    • 2
  1. 1.Department of GynecologyDr. Iwamura Memorial Hospital and Research CenterSallaghariNepal
  2. 2.Department of Gynecology and ObstetricsUniversity Hospital of ViennaViennaAustria

Personalised recommendations