To Assess Social Demographic Characteristics of Women with Pelvic Organ Prolapse

Introduction: One of the prevalent clinical conditions in daily gynecological treatment is pelvic organ prolapses (POP), particularly in parous women. The entity comprises vaginal wall descent and/or uterine descent. Pelvic organ prolapse is a common pelvic disorder among women. Objective: To determine the social demographic characteristics and types of pelvic organ prolapse and to find out the association between social demographical characteristics with pelvic organ prolapse. Methods: The descriptive survey was used and the sampling technique was non probability convenient sampling technique and the sample size was 60. Results: Twenty six (43.3%) women were belongs to in the age group of 33-40 years. 54 (90%) of women were married.29 (48.3% ) of women never had abortion. 26 (43.3%) of women had normal Original Research Article Taksande et al.; JPRI, 33(54A): 230-236, 2021; Article no. JPRI.75495 231 delivery whereas 17(28.3) had instrumental delivery .19 (31.3%) of women had perineal tear, 20 (33.30%) of women had cervical tear in previous pregnancy . 21(35% ) of women had cystocele whereas 20(33.3) has rectocele . There is significance association between the of age of women, marital status, occupation, Place of previous delivery, type of previous delivery, complications during previous labour except the parity with pelvic organ prolapse. Conclusion: Pelvic organ prolapse is common gynecological condition .The patients are relatively middle age group. Parity, Occupation, Injuries to birth canal was may be contributory to severity of pelvic organ prolapse.


INTRODUCTION
One of the prevalent clinical conditions in daily gynecological treatment is pelvic organ prolapses (POP), particularly in parous women. The entity comprises vaginal wall descent and/or uterine descent [1]. POP causes a bulging lump in the vaginal area, which causes difficulty sitting, walking, and lifting for women (89 percent). POP stage II-IV was linked to being 35 years or older, being a farmer, performing minor trading, and having delivered three times or more. Carrying heavy objects for more than 5 hours, having delivered 5 times or more, and having delivered at home were all linked to severe POP [2]. Menopausal women having uterine prolapse (19.38%) as a urogenital symptoms [3].
Pelvic organ prolapses is a prevalent urogenital problem that affects 41-50% of women over the age of 40. It is characterized by the symptomatic fall of one or more of the anterior or posterior vaginal walls, the vaginal apex, or even the uterus [4]. Pressure and vaginal bulging are common symptoms, as are discomfort in the perineum, pelvic and back pain, and a variety of urine and bowel symptoms such as incontinence, sexual difficulties, and psychological distress [5]. Prolapse has a substantial impact on women's physical, psychological, and social well-being and quality of life, despite the fact that it is not life threatening. Urinary incontinence frequently occurs in conjunction with prolapse, causing significant distress, shame, and discomfort [6].
Treatment for prolapse is often determined by the stage and severity of the problem it can be treated by diet, exercise pelvic exercises, pessaries and surgery [7]. Damage to the pelvic floor and its structures of support begins with the first vaginal delivery. Further deliveries lead to a prolapse of labour, maternal stress relief and the application of the financial pressure and traction by qualified and unskilled personnel causing damage to the pelvic floor and its structures [8]. Depending on which organ is bulging into the vagina, there are many types of prolapse. It's possible that the uterus, bladder, or rectum is affected [9].Uterine prolapse occurs when the uterus protrudes into the vaginal canal. The uterus may eventually be removed [10].
Uterine prolapse is also common during pregnancy as midwife main role in prevention by given the health education to perform Kegel's exercise, to avoid lifting heavy weight, to prevent constipation, and controlled coughing [11].

MATERIALS AND METHODS
The descriptive evaluator approach was used in this study and the sampling technique was non-probability convenient sampling was used. Data was collected using a selfstructured questionnaire and sample size was 60 women with pelvic organ prolapse in a selected hospital.

Selection Criteria
Inclusion criteria were those who are willing to participate in the study, all types of prolapsed and available at the time of data collection. Exclusion criteria women who are have any mental illness.

Statistical Analysis
Descriptive statistics were used to determine the social demographic characteristics and types of pelvic organ prolapse and Chi-square used to find out the association.

RESULTS
The percentage -wise distribution women with the data obtained to describe the sample demographic characteristics including age in year, marital status, parity and place of previous delivery.

CONCLUSION
Pelvic organ prolapse is common gynecological condition. The patients are relatively middle age group. The presence of pelvic organ prolapse and severity is may be due to multiparity, occupation, Injuries to birth canal and life style modifications, avoid harden work by women as well as proper conduct of safe delivery will helps to reduce pelvic organ prolapse.

CONSENT
The informed consent was taken from subjects and IEC letter no. is DMIMS (DU)/IEC/2020-21/146.

ETHICAL APPROVAL
It is not applicable.