Symptomatic pelvic organ prolapse and possible risk factors in a general population
Symptomatic pelvic organ prolapse and possible risk factors in a general population
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DOI：
10.1016/j.ajog.2008.08.070
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发表时间：
2009-02-01
影响因子：
9.8
通讯作者：
Vierhout, Mark E.
中科院分区：
文献类型：
--
作者：
Hove, Marijke C. Ph. Slieker-ten;Pool-Goudzwaard, Annelies L.;Vierhout, Mark E.
目的：我们试图研究一般白色population.Study设计：这是一个横断面研究的盆腔器官脱垂（POP）症状和危险因素的患病率。荷兰一个小城市的所有45-85岁的女性居民都收到了有效的问卷。结果：应答率为62.7%（1869/2979）。POP患病率为11.4%。多因素分析显示，妊娠期POP症状、母亲POP病史和重体力劳动是POP的主要危险因素，总人群归因危险度为46%。结论：一般白色人群中有症状性POP的患病率较高，其中妊娠期POP症状、母亲POP病史和重体力劳动是POP的独立危险因素。临床医生在咨询（孕妇）时应重点关注风险因素，告知妇女了解自己和女儿的进一步暴露。
OBJECTIVE: We sought to examine the prevalence of pelvic organ prolapse (POP) symptoms and risk factors in a general white population.STUDY DESIGN: This was a cross-sectional study. All female residents aged 45-85 years in a small Dutch city received validated questionnaires. Women were classified as symptomatic if they reported feeling and/or seeing vaginal bulge.RESULTS: Response rate was 62.7% (1869/2979). Prevalence of POP was 11.4%. Multivariate analysis revealed POP symptoms during pregnancy, a maternal history of POP, and heavy physical work, with a total population-attributable risk of 46%.CONCLUSION: There is high prevalence of symptomatic POP in a general white population of which independent risk factors are POP symptoms during pregnancy, a maternal history of POP, and heavy physical work. Clinicians should focus on risk factors in counseling of (pregnant) women to inform women to be aware of further exposures for themselves and their daughters.