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

doi:10.1002/ijgo.15853

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

Journal article

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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 and Kimberly Ann Kenne

International journal of gynecology and obstetrics, Vol.168(1), pp.362-368

01/2025

DOI: 10.1002/ijgo.15853

PMCID: PMC11649885

PMID: 39148276

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Abstract

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

anal incontinence

low income country

parous women

pelvic floor disorders

pelvic organ prolapse

prevalence

Ugandan women

urinary incontinence

UIOWA OA Agreement

Details

Title: Subtitle: Pelvic floor disorder prevalence and risk factors in a cohort of parous Ugandan women
Creators: Ramya Vemulapalli - University of Iowa
Michael Derrick Ngobi - MUJHU Research Collaboration
Flavia Matovu Kiweewa - MUJHU Research Collaboration
JaNiese Elizabeth Jensen - University of Iowa
Julia Diane Fleecs - University of Iowa
Haley Alaine Steffen - University of Iowa
Linder Hagstrom Wendt - University of Iowa
Jay Brooks Jackson - University of Iowa, Pathology
Kimberly Ann Kenne - University of Iowa
Resource Type: Journal article
Publication Details: International journal of gynecology and obstetrics, Vol.168(1), pp.362-368
DOI: 10.1002/ijgo.15853
PMID: 39148276
PMCID: PMC11649885
NLM abbreviation: Int J Gynaecol Obstet
ISSN: 1879-3479
eISSN: 1879-3479
Publisher: Wiley
Grant note: NIH: UM1TR004403
Funding for the study and publication were provided by the Mark Gilbert and Karen Simmonds Research gift fund and the Tom and Melanie Gellhaus Global Health gift fund. Statistical support was provided by the University of Iowa Clinical and Translational Science Center with funds from the NIH (UM1TR004403).
Language: English
Electronic publication date: 08/15/2024
Date published: 01/2025
Academic Unit: Pathology; Obstetrics and Gynecology
Record Identifier: 9984697059802771

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