ArticleFrontiers in reproductive health2025
Risk factors for uterovaginal prolapse among women in public hospitals of Sidama, Ethiopia: a case control study.
Article in Frontiers in reproductive health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Utero-vaginal prolapse is a significant public health concern in developing countries such as Ethiopia, where access to health care is limited. It is a major reproductive crisis in women that affects a woman's quality of life and has a great negative impact on women's social, physical, economic, and psychological wellbeing. Despite this, there is limited evidence on risk factors in the study area. Therefore, this study aimed to identify the risk of utero-vaginal prolapse among women visiting gynecologic outpatient departments in governmental hospitals. Methods: A facility-based unmatched case-control study was conducted among 286 women visiting gynecologic outpatient departments in selected governmental hospitals. The data were collected via a pretested structured questionnaire designed with a Kobo tool box. The Kobo tool is an easy, open electronic data collection tool suitable for field research and helps ensure data security. The data were subsequently exported to SPSS for analysis. Descriptive statistics were performed. To assess associations, independent Results: A total of 277 respondents, 91 patients with utero-vaginal prolapse and 186 controls, were included in the study. According to the multivariable logistic regression analysis, early childbirth [AOR = 3.98 (95% CI: 1.08-14.58)], a history of multiple pregnancies [AOR = 2.88 (95% CI: 1.27-6.49)], home delivery [AOR = 4.9 (95% CI: 1.3-18.6)], prior pelvic surgery [AOR = 3.9 (95% CI: 1.08-13.8)], and a history of instrumental delivery [AOR = 3.1 (95% CI: 1.08-9.14)] were found to be significant determinants of utero vaginal prolapse. Conclusion: These findings underscore that
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