Evidence map›Paper›PMID 39148276›Full record

ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2025

Pelvic floor disorder prevalence and risk factors in a cohort of parous Ugandan women.

Ramya Vemulapalli, Michael Derrick Ngobi, Flavia Matovu Kiweewa, JaNiese Elizabeth Jensen, Julia Diane Fleecs, Haley Alaine Steffen, Linder Hagstrom Wendt, Jay Brooks Jackson, Kimberly Ann Kenne

Abstract read
In one paragraph

Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Pelvic floor disorder prevalence and risk factors in a cohort of parous Ugandan women.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ramya VemulapalliUniversity of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
Michael Derrick NgobiMakerere University-John Hopkins University Research Collaboration, Kampala, Uganda.
Flavia Matovu KiweewaMakerere University-John Hopkins University Research Collaboration, Kampala, Uganda.
JaNiese Elizabeth JensenUniversity of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
Julia Diane FleecsUniversity of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
Haley Alaine SteffenUniversity of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
Linder Hagstrom WendtUniversity of Iowa Institute for Clinical and Translational Science, Iowa City, Iowa, USA.
Jay Brooks JacksonDepartment of Pathology, Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA.
Kimberly Ann KenneDepartment of Obstetrics and Gynecology, University of Iowa, Iowa City, Iowa, USA.ORCID https://orcid.org/0000-0002-2324-8266

Funding

Mark Gilbert and Karen Simmonds Research GiftTom and Melanie Gellhause Global Health Gift
6 · The paper itself

Abstract

objectivesThe aim of this study was to determine the prevalence of pelvic floor disorders (PFDs) and associated risk factors among parous Ugandan women.

methodsWe performed a cross-sectional study of parous Ugandan women. Demographics and assessment for PFD were obtained. The presence of PFD was defined by participant symptom report, standardized questionnaires, and standard physical examination (pelvic organ prolapse quantification [POP-Q] and cough stress test [CST]).

resultsA total of 159 women were enrolled in the study between June 2022 and June 2023. The median age was 35 years and median parity was 4. Forty-four (28%) women in the cohort reported symptoms of urinary incontinence. No women reported symptoms of pelvic organ prolapse or anal incontinence. Seventy-two (46%) participants had a positive CST and 93 (58.3%) had stage II or greater prolapse based on the POP-Q. Cesarean section was found to have a protective effect for the development of PFD (odds ratio [OR] 0.22, 95% confidence interval [CI] 0.07-0.59, P = 0.004).

conclusionPFDs are prevalent among parous Ugandan women at rates similar to cohorts in other low- and middle-income countries. Cesarean section seems to be a protective factor against developing PFDs.

Indexed as

ParityPelvic Floor DisordersAdultCesarean SectionCohort StudiesCross-Sectional StudiesFemaleHumansMiddle AgedPelvic Organ ProlapsePregnancyPrevalenceRisk FactorsSurveys and QuestionnairesUgandaUrinary Incontinenceanal incontinencelow income countryparous womenpelvic floor disorderspelvic organ prolapseprevalenceUgandan womenurinary incontinence

Identifiers

PMID39148276
PMCPMC11649885

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.