Symptomatic pelvic floor disorders and its associated factors in South-Central Ethiopia.

<h4>Introduction</h4>Pelvic floor disorders (PFD) are gynecologic health problems containing a wide variety of clinical problems; the most prevalent problems are pelvic organ prolapse, fecal incontinence, and urinary incontinence. It is a significant women's health problem for both...

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Autores principales:	Eskedar Demissie Beketie, Wubishet Tesfaye Tafese, Zebene Mekonnen Assefa, Fantahun Walle Berriea, Genet Asfaw Tilahun, Bisrat Zeleke Shiferaw, Natnael Eshetu Teke
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/8bccddb0e546422d9f7df415dfe62df3
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spelling	oai:doaj.org-article:8bccddb0e546422d9f7df415dfe62df32021-12-02T20:09:42ZSymptomatic pelvic floor disorders and its associated factors in South-Central Ethiopia.1932-620310.1371/journal.pone.0254050https://doaj.org/article/8bccddb0e546422d9f7df415dfe62df32021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254050https://doaj.org/toc/1932-6203<h4>Introduction</h4>Pelvic floor disorders (PFD) are gynecologic health problems containing a wide variety of clinical problems; the most prevalent problems are pelvic organ prolapse, fecal incontinence, and urinary incontinence. It is a significant women's health problem for both developed and developing countries. One in five women in Ethiopia experiences at least one major type of pelvic floor disorders. Despite the severity of the problem, due attention was not given, and no study has been conducted on pelvic floor disorders in the Gurage Zone.<h4>Objective</h4>To determine the prevalence and associated factors of symptomatic pelvic floor disorders among women living in Gurage Zone, SNNPR, Ethiopia, 2020.<h4>Methodology</h4>Community-based cross-sectional study was conducted from February to March 2020 among 542 women residing in the Gurage Zone. A multi-stage sampling method was used to select the participants. Interviewer administered, pretested questionnaires containing questions related to pelvic organ prolapse, urinary, and fecal incontinence was used. The urinary incontinence severity index questionnaire was used to assess the severity of urinary incontinence. Epi-Info x7 was used to record data, and SPSS was used to analyze the data. Binary logistic regression with 95% CI was used to explore the relationship between PFD and other independent variables. After multivariable logistic regression analysis variables with P-value less than 0.05 was used to determine significant association.<h4>Result</h4>A total of 542 participants were included in this study. Overall, 41.1% of the participants reported one or more symptoms of pelvic floor disorders. Urinary incontinence had the highest prevalence (32.8%), followed by pelvic organ prolapse (25.5%) and fecal incontinence (4.2%). History of weight lifting >10 Kg (AOR = 3.38; 95% CI: 1.99, 5.72), ≥5 vaginal delivery (AOR = 11.18; 95% CI: 1.53, 81.58), and being in menopause (AOR = 3.37; 95% CI: 1.40, 8.07) were identified as possible contributing factors in the development of a pelvic floor disorders.<h4>Conclusion</h4>The prevalence of symptomatic PFD was higher compared to other similar studies in Ethiopia. Heavy weight lifting, repetitive vaginal deliveries and menopause were factors significantly associated with PFD. Expansion of technologies and building basic infrastructures, health education on kegel exercise and promotion of family planning should be considered as a prevention strategy.Eskedar Demissie BeketieWubishet Tesfaye TafeseZebene Mekonnen AssefaFantahun Walle BerrieaGenet Asfaw TilahunBisrat Zeleke ShiferawNatnael Eshetu TekePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254050 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Eskedar Demissie Beketie Wubishet Tesfaye Tafese Zebene Mekonnen Assefa Fantahun Walle Berriea Genet Asfaw Tilahun Bisrat Zeleke Shiferaw Natnael Eshetu Teke Symptomatic pelvic floor disorders and its associated factors in South-Central Ethiopia.
description	<h4>Introduction</h4>Pelvic floor disorders (PFD) are gynecologic health problems containing a wide variety of clinical problems; the most prevalent problems are pelvic organ prolapse, fecal incontinence, and urinary incontinence. It is a significant women's health problem for both developed and developing countries. One in five women in Ethiopia experiences at least one major type of pelvic floor disorders. Despite the severity of the problem, due attention was not given, and no study has been conducted on pelvic floor disorders in the Gurage Zone.<h4>Objective</h4>To determine the prevalence and associated factors of symptomatic pelvic floor disorders among women living in Gurage Zone, SNNPR, Ethiopia, 2020.<h4>Methodology</h4>Community-based cross-sectional study was conducted from February to March 2020 among 542 women residing in the Gurage Zone. A multi-stage sampling method was used to select the participants. Interviewer administered, pretested questionnaires containing questions related to pelvic organ prolapse, urinary, and fecal incontinence was used. The urinary incontinence severity index questionnaire was used to assess the severity of urinary incontinence. Epi-Info x7 was used to record data, and SPSS was used to analyze the data. Binary logistic regression with 95% CI was used to explore the relationship between PFD and other independent variables. After multivariable logistic regression analysis variables with P-value less than 0.05 was used to determine significant association.<h4>Result</h4>A total of 542 participants were included in this study. Overall, 41.1% of the participants reported one or more symptoms of pelvic floor disorders. Urinary incontinence had the highest prevalence (32.8%), followed by pelvic organ prolapse (25.5%) and fecal incontinence (4.2%). History of weight lifting >10 Kg (AOR = 3.38; 95% CI: 1.99, 5.72), ≥5 vaginal delivery (AOR = 11.18; 95% CI: 1.53, 81.58), and being in menopause (AOR = 3.37; 95% CI: 1.40, 8.07) were identified as possible contributing factors in the development of a pelvic floor disorders.<h4>Conclusion</h4>The prevalence of symptomatic PFD was higher compared to other similar studies in Ethiopia. Heavy weight lifting, repetitive vaginal deliveries and menopause were factors significantly associated with PFD. Expansion of technologies and building basic infrastructures, health education on kegel exercise and promotion of family planning should be considered as a prevention strategy.
format	article
author	Eskedar Demissie Beketie Wubishet Tesfaye Tafese Zebene Mekonnen Assefa Fantahun Walle Berriea Genet Asfaw Tilahun Bisrat Zeleke Shiferaw Natnael Eshetu Teke
author_facet	Eskedar Demissie Beketie Wubishet Tesfaye Tafese Zebene Mekonnen Assefa Fantahun Walle Berriea Genet Asfaw Tilahun Bisrat Zeleke Shiferaw Natnael Eshetu Teke
author_sort	Eskedar Demissie Beketie
title	Symptomatic pelvic floor disorders and its associated factors in South-Central Ethiopia.
title_short	Symptomatic pelvic floor disorders and its associated factors in South-Central Ethiopia.
title_full	Symptomatic pelvic floor disorders and its associated factors in South-Central Ethiopia.
title_fullStr	Symptomatic pelvic floor disorders and its associated factors in South-Central Ethiopia.
title_full_unstemmed	Symptomatic pelvic floor disorders and its associated factors in South-Central Ethiopia.
title_sort	symptomatic pelvic floor disorders and its associated factors in south-central ethiopia.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/8bccddb0e546422d9f7df415dfe62df3
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Symptomatic pelvic floor disorders and its associated factors in South-Central Ethiopia.

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