Factors associated with pelvic organ prolapse: a prospective study in a tertiary care hospital in Northern India

Background: Pelvic organ prolapse (POP) is a common health problem affecting the multiparous women. Various demographic and social factors are the underlying cause for POP.Methods: This is a prospective study on 100 patients of pelvic organ prolapse attending the gynecological OPD of a tertiary care institute in Northern India. A thorough history was taken and a complete examination was done. The data was collected and analyzed.Results: The findings of the study revealed that the mean age of the patient was 49.45 years with 84% of the patient above 35 years. Illiteracy was present in 54% of the patients. The mean age of marriage was 20.02 years and 63% of the women in the study group had their first pregnancy before 20 years of age. Majority of patients (72%) had 2 or more deliveries at home, attended by untrained birth attendant. Parity of more than four was present in 70% patients. A large percentage of patients (78%) resumed their work within one month of delivery. Mean age of onset of POP was 47.79 years and mean duration of POP was 7.2 years before consulting a doctor.Conclusions: Early marriage, pregnancy at an early age, deliveries at home, multiple childbirth, and inadequate rest and nutrition in the postpartum period is the key underlying factors leading to pelvic organ prolapse