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Open Access 01-12-2013 | Research article

Depression among women with obstetric fistula, and pelvic organ prolapse in northwest Ethiopia

Authors: Berihun Megabiaw Zeleke, Tadesse Awoke Ayele, Mulatu Adefris Woldetsadik, Telake Azale Bisetegn, Akilew Awoke Adane

Published in: BMC Psychiatry | Issue 1/2013

Abstract

Background

The prevalence of depression is not well studied among women with pelvic floor disorders. Hence, this study aimed to determine the prevalence of depression and its associated factors among women with pelvic floor disorders.

Methods

A cross-sectional study was conducted among 306 women with one or more of the advanced pelvic floor disorders who attended at the gynaecologic outpatient clinic of Gondar university referral hospital in the six months data collection period. Women who complained of urinary or faecal incontinence or protruding mass per vagina were assessed and staged accordingly. Eligible women i.e. those with advanced pelvic organ prolapse or obstetric fistula were included consecutively. A structured questionnaire was used to obtain socio-demographic data and medical histories for all consenting women. Interviews were done by a female midwife nurse. Depression measures were obtained using the Beck’s Depression Inventory (BDI) tool administered by the midwife nurse after intensive training. Data were entered into a computer using Epi Info version 3. 5.3, and then exported to SPSS version 20 for analysis. Multiple logistic regressions were fitted and Odds ratios with 95% confidence intervals were calculated to identify associated factors.

Results

Of the 306 women interviewed, 269 had advanced pelvic organ prolapse (stages 3 and 4), 37 had obstetric fistula. All four women (100%) with both faecal and urinary incontinence, 97.0% those with urinary incontinence due to obstetric fistula and 67.7% of those with advanced pelvic organ prolapse (stages 3 and 4) had symptoms of depression. Depression was significantly associated with age 50 years or older (P < 0.01), marital status (P < 0.05), history of divorce (p < 0.01), self perception of severe problem (P < 0.05), and having stage 3 pelvic organ prolapse (P < 0.01).

Conclusion

Women with advanced pelvic organ prolapse, and obstetric fistula had high prevalence of depressive symptoms. A holistic management approach, including mental health care is recommended for women having such severe forms of pelvic floor disorders.

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The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-244X/13/236/prepub

Title: Depression among women with obstetric fistula, and pelvic organ prolapse in northwest Ethiopia
Authors: Berihun Megabiaw Zeleke
Tadesse Awoke Ayele
Mulatu Adefris Woldetsadik
Telake Azale Bisetegn
Akilew Awoke Adane
Publication date: 01-12-2013
Publisher: BioMed Central
Published in: BMC Psychiatry / Issue 1/2013
Electronic ISSN: 1471-244X
DOI: https://doi.org/10.1186/1471-244X-13-236

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Depression among women with obstetric fistula, and pelvic organ prolapse in northwest Ethiopia

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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