Investigation And Analysis Of Factors Inducing Female Pelvic Organ Prolapse

Subject: Investigation and analysis of factors inducing female pelvic organ prolapse.Object:To explore the related factors ,the quality of life and mental health of female pelvic organ prolapse, we will provide a basis practical method for prevention.Method:During 2009.1-2009.8, we the pelvic organ prolapse was randomed survey in the outpatient or inpatient of Jilin University First Hospital of Obstetrics and Gynecology, including age, occupation, body mass index, living environment, post-menopausal conditions, reproductive history , history of pelvic surgery, urination abnormal conditions, and other chronic diseases (cough, constipation, hypertension and diabetes), quality of life, mental health and other projects.Result:In the 583 cases, 16.6% of people (97 cases) suffering from pelvic organ prolapse (POP), of which 12.2% of the patients asâ… degree prolapse. The incidence of pelvic organ prolapse in Urban and rural women was no significant difference.The lowest Women's literacy levels are, the highest pelvic organ prolapse prevalence rate is, P<0.01. According to the nature of labor and labor-intensity approximation, These survey objects are classified three groups :main sit with a small amount of standing,main stand with small amount of sit, strong physical labor. Morbility of each group are 13.0%, 17.0% and 23.7%. There was no significant difference among the three groups,P>0.05. Pelvic organ prolapse occurred mainly in women over 45 years of age, in particular more than 5 years postmenopausal. With increasing age, the morbility of pelvic organ prolapse gradually increase. BMI in the 24~28kg/m2 of overweight persons, POP morbility is 20.9% (37/177). BMI>28.0kg/m2 obese, POP morbility is 22.2%.They are higer than normal BMI,P<0.05. Degree of maternal weight gain during pregnancy, age of first childbirth and the number of pregnancy, abortion are no obvious relationship with POP,P>0.05. The morbility of POP in nullipara is 2.7%. The morbility of POP in Property 1 women is 14.6%. The morbility of POP in Property 2 women is 23.3%. The morbility of POP in Property 3 women is 37.9%. The morbility of POP in Property >4 women 47.4%. The morbility of pelvic organ prolapse increase with the number of deliveries increased significantly, P<0.01. The morbility of POP of vaginal natural childbirth women is 22.4%.The morbility of POP of instrumental delivery women is 33.3%.They are higher than the morbility (4.9%) of POP of caesarean section delivery women, p<0.01. The morbility of POP of the women who have no birth canal injury is 15.1%. The morbility of POP of the women who have laceration or lateral suture is 48.8%.They have significant difference,P<0.01.In precipitate delivery women the morbility of POP is 33.3%.In prolonged labour women the morbility of POP is 41.7%.They are significantly higher than the morbility of POP of normal birth process women,P<0.01. The morbility of POP in women who get sufficient rest during puerperium is 13.7%.It is lower than the morbility (26.7%) of POP in women who have light physical labor during puerperium, P. It is higher the morbility (62.5%) of POP in women who heavy physical labor, P<0.01. The morbility POP of patients with hypertension is 27.1%. The morbility POP of patients without hypertension is 15.5%. There was significant difference, P<0.05. The chronic cough, chronic constipation and diabetes does not affect the the morbility POP. 38.6% women who had a history of abdominal surgery develop pelvic organ prolapse significantly higher than those without a history of abdominal surgery, P<0.01. 64.9% patients with pelvic organ prolapse accompany by urination abnormal situation. It is higher than 20.8% of non-pelvic organ prolapse women. P<0.01. Patients with pelvic organ prolapse complain their sexual life and their daily lives are affected, Only 22.7% POP patients see doctor, 64.9% of patients have not been treated. Anxiety symptoms in patients with pelvic organ prolapse is significantly higher than the incidence of normal women. The women suffering from pelvic organ prolapse are not satisfied with marriage. The rate were significantly higher than those of non-pelvic organ prolapse, they are significantly different(p<0.05). 32.1% women of non-pelvic organ prolapse have high score on sexual life, it is significantly higher than that of patients with pelvic organ prolapse, p<0.05.Conclusion POP morbility is no difference between urban and rural areas. Patients older, longer-menopausal women the higher the morbility of pelvic organ prolapse. Multiple women pregnancy and childbirth increase the morbility of pelvic organ prolaps, but nullipara women can get POP. Vaginal childbirth, particularly vaginal instrumental delivery deliveries are a major cause of pelvic organ prolapse Perineal laceration should suture in time, old lacerations are prone to pelvic organ prolapse. High BMI and hypertension are important risk factors of pelvic organ prolapse. To improve women's level of education benefit to reduce the incidence of pelvic organ prolapse. There is a certain correlation between the labor during uerperium, history of abdominal surgery and pelvic prolapse of uterus. Pelvic organ prolapse is often accompanied by urinary abnormalities and a negative impact on sexual life, generate anxiety, and thus are not satisfied with their married life, affecting family life (do not want vacation with his family, friends, gatherings, etc.) affect the interests and hobbies, but tht most patients can not realize it.Effect factors be targeted for prevention, to disseminate knowledge about the disease and help patients with female POP access to knowledge, to enhance health awareness and treatment of self-confidence, on a regular basis to do census and treatment of women diseases. the proper conduct of pregnancy, puerperium reproductive health guidance, guidance lactating women anal contraction exercise, to improve the organization of the supportive pelvic floor. correctly handle the labor and vaginal childbirth, suture of vaginal tear and timely.