Unveiling the Silent Epidemic of Uterine Prolapse: A Call For Better Family Planning

This study aimed to investigate the degree and distribution of uterine prolapse among women presenting with the illness. METHODOLOGY This study is a retrospective analysis of secondary data from the hospital medical records (HMIS) of Hayatabad Medical Complex, Peshawar, Pakistan. A total of 298 patient records were reviewed using information from the hospital's electronic medical record system. The inclusion criteria include women with uterine prolapse, and, given consent, exclusion criteria include women with insufficient medical records and who have undergone hysterectomy. Histopathological reports were examined, including patient demographics (age) and clinical history (including parity and degree of prolapse). A statistical analysis was conducted using SPSS version 25. RESULTS Among 298 patients with uterine prolapse, 90.6% had severe grades (Grade 3 or 4), with Grade 4 accounting for 68.8%. The majority were over 50 years old (79.2%), demonstrating a substantial link with postmenopausal status. Furthermore, 92.6% were grand multiparous, emphasizing high parity as a significant risk factor. Grand multiparous women and older age groups were more likely to have higher grades among the 298 patients. Age vs. Grading: χ² = 3.329, df = 12, p = 0.993; Parity vs. Grading: χ² = 4.195, df = 9, p = 0.898 did not, however, show statistical significance. CONCLUSION Older and grand multiparous women were the most likely to experience severe uterine prolapse, highlighting the significance of age and high parity as clinical risk factors. However, no statistically significant correlation was discovered. To alleviate the burden of uterine prolapse in low-resource settings, these findings underscore the importance of strengthening family planning services, early screening, and preventive measures.