Knowledge on risk factors of uterine prolapse among reproductive age group women of Bajrabarahi Municipality of Lalitpur, Nepal

Abstract

Background: Pelvic organ prolapse (POP) is a most common gynecological health problem contributing to maternal morbidity and mortality among women of reproductive age in developing countries. In Nepal prevalence of uterus prolapse among reproductive age women is around 17-27%. Still large numbers of rural Nepalese women are deprived of access to early diagnosis and quality treatment services related uterus prolapse. The present study was conducted with the aims to assess knowledge on risk factors on uterine prolapse among the reproductive age group of women who have at least one child below five years of age and residing at Bajrabarahi municipality of Lalitpur district. Methods: This is a cross sectional descriptive study. Total 185 individuals were randomly selected from the list of safe motherhood register book of Bajrabarahi municipality for the interview. Semi-structured questionnaire was used as tools to collect data from study participants. Data collected was entered in Epi-data and data analysis was done using SPSS 16.0 version. Bivariate analysis was done using Chi-Square test to find the association between the selected variables of the study. Results: The study results shows that out of total 46.5% of respondents have adequate knowledge and 53.5% of respondents have inadequate knowledge regarding risk factors of uterus prolapse. The study results explicitly reflects the knowledge on risk factors of uterus prolapse is significantly associated with the age of respondent (p=0.021), age at marriage of respondents (p=0.011), education status of respondents (p=0.001) and age at first child birth of respondent (p=0.001). Conclusions: Though majority of respondents have heard about uterus prolapse, very few participants have in-depth or adequate knowledge about risk factors of uterus prolapse. Still extensive efforts of government and non-government organizations are essential to improve maternal health status of rural Nepalese women.