Title: Crafting a Comprehensive Literature Review on Uterine Prolapse in Nepal

Welcome to our platform, where we delve into the intricate process of composing a literature review
on uterine prolapse in Nepal. Embarking on this journey requires meticulous research, critical
analysis, and adept synthesis of information to provide a comprehensive overview of the topic.
However, the complexity of this task cannot be understated.

Writing a literature review demands a deep understanding of the subject matter, coupled with the
ability to sift through a vast array of academic sources, including scholarly articles, research papers,
and relevant literature. In the case of uterine prolapse in Nepal, the task becomes even more
challenging due to the diverse cultural, social, and healthcare landscape of the region.

Navigating through the plethora of available information while ensuring relevance, accuracy, and
coherence poses a significant hurdle for many researchers. Moreover, synthesizing the findings from
various sources to construct a cohesive narrative requires both skill and expertise.

One of the most daunting aspects of crafting a literature review is the need for meticulous
organization and structuring of the content. Ensuring logical flow, coherence, and clarity throughout
the review is essential to convey the research findings effectively.

In addition to these challenges, researchers often encounter difficulties in critically evaluating the
reliability and validity of the sources they cite. Distinguishing between credible studies and
anecdotal evidence is paramount to maintain the integrity of the literature review.

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standards while effectively addressing the intricacies of uterine prolapse in the Nepalese context.

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Because this health camp is free of charge, women are more likely to walk up to 6 hours to seek
medical care, as they cannot afford it otherwise.”. When she asked if she likes her specialty, she
smiled and said she prefers obstetrics because there are so many good moments. Data was analyzed
via SPSS software version 16 by using descriptive and inferential statistics. Download Free PDF
View PDF International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Towards optimizing caesarean section: a five-year review of caesarean sections at a Southern Nigeria
hospital Olakunle Makinde, Nkencho Osegi Background: Monitoring caesarean sections at hospital
level is essential to reduce unnecessary caesarean sections while still ensuring adequate access to
caesarean section. Forty-eight percent were coping by reducing the uterus manually, 9% consulted
local health workers, and 42.5% used multiple practices, such as Bethi (a herb that resembles a green
vegetable) and eating nutritious food (e.g., meat, eggs, milk, fruits, etc.). After intervention at an
outreach clinic, participants began using health services as instructed by experts. Main themes and
categories were mainly based on issues identified in the quantitative study. The severity increases
while carrying loads (water, fodder, firewood etc.), washing, cleaning, walking and standing and
sitting in squatter position. The severity of uterine prolapse is determined according its degree, first
degree when the uterine cervix protrudes into the lower third of the vagina, second degree when the
cervix protrudes past the vaginal opening and the third degree when the entire uterus protrudes past
the vaginal opening. Edited by: Berer M, Sundari T. 1999, Oxford: Blackwell Science, 166-172. She
was reluctant to seek care but came to the camp with her daughter-in-law who noticed the effects of
prolapse. Gender discrimination and health care-seeking practices According to the Nepal
Demographic and Health Survey 2011, only 40% of Nepalese women are illiterate and 61% of
working women are not paid for their work. Although the districts are gradually implementing a UP
policy, women are not motivated to use such services. She spent time working in the Kathmandu
Teaching Hospital where women who had uterine prolapse were treated for free. See Full PDF
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Sorry, preview is currently unavailable. Almost half (48%) of participants sought no health care; 42%
ingested a herb and ate nutritious food. She’s looking forward to the positive economic benefits that
this surgery will bring, for she will be ab to work at her fullest capacity. Participants were selected by
purposive sampling techniques, and data were collected through structured interview schedule. Study
participants had autonomy to respond to each question; we also discussed and ensured both
anonymity and confidentiality prior to each interview. Gender bias regarding education and choice
of occupation opportunities influences women’s low social and economic position, increasing their
dependence on spouses or other family members, possibly contributing to a delay in seeking health
care for UP treatment. Given Nepal’s low average age of prolapse diagnosis, others argue that
hysterectomies should not be performed on women of reproductive age. Pancha Maya has 3 children
and has experienced problems managing daily work in the field and household tasks after the onset
of prolapse. Uterine prolapsed is a condition in which the muscles and supporting ligaments holding
the uterus in place gets too weak to keep the uterus in position. Different Types of Heart Surgery
Offered at Gokuldas Hospital Exploring Treat. This study was conducted to determine the caesarean
section rate and indications for caesarean section at the study centre and provide objective data for
institutional interventions towards reducing unnecessary caesarean sections in the centre.Methods: A
retrospective descriptive study of patients that had caesarean sections between 1st January 2013 and
31st December 2017 at the Federal Medical Centre, Yenagoa, Nigeria. Sobha initially concealed her
prolapse as she was living with her husband’s family. Prior to visiting the outreach clinics,
participants had not visited health facilities for various reasons, including shame (48%), not felt as
necessary (12%), and multiple responses (29%), including shame, having no one to share about the
problem, male service provider, fear of stigma and discrimination, and a perception that UP is normal
for childbearing women, etc. The 2006 Nepal Demographic and Health Survey (NDHS) said 200,000
women were in immediate need of surgery. However, despite progress in maternal health care UP
remains persistent in all districts of both urban and rural communities and therefore poses a public
health problem in Nepal. The severity of uterine prolapse is determined according its degree, first
degree when the uterine cervix protrudes into the lower third of the vagina, second degree when the
cervix protrudes past the vaginal opening and the third degree when the entire uterus protrudes past
the vaginal opening. Therefore the government and non government organizations effort on health
awareness programme are essential to maximize the knowledge of uterine prolapse.
Moreover, there was an increase in the rate of cesarean births. Discriminatory gender norms and
value systems make women more vulnerable to gender-power relations and place men in a higher
position. Multiparity, prolonged labour and unsupervised deliveries are significant determinants. The
data were analyzed using MS-Excel and SPSS version 23. However, I have to manage travel and
other additional costs for patient visit and food. During in-depth interviews, almost all women said
that they delivered children at home. We visited nine follow-up outreach clinics during the research
period. Steadman, Jefferson Yarborough, Nola Tolsma, Iain Guest, Angelique Palomar, Kim
Ingeneri, Katherine Wagner, P A Bliss-Guest, Lawrence Ingeneri, Jennifer Guest, Margaret Harvey,
Sara McCracken, and Jiahui Soh. One 49-year-old woman expressed her feelings and described how
she was coping with UP as. Results: The finding showed that 46% had adequate knowledge, while
54% of the respondents had inadequate knowledge about uterine prolapsed. Physical symptoms of
this condition influence women’s quality of life. The condition developed after she terminated a
pregnancy and has significantly impacted her daily activities. Cultural issue and delay in health care-
seeking We determined that one perceived barrier to health care for UP was a woman’s feeling of
shame, because UP involves a sensitive part of the body. Most had faced multiple obstetric
complications, including prolonged labor (more than 5 days) and heavy bleeding, with or without
retained placenta. At laparotomy, a 360 degrees uterine torsion was discovered complicated with
placental abruption, causing a fresh stillborn baby. She described the treatment of uterine prolapse as
a “surgery business”. The sample was selected by non probability purposive sampling technique. The
structured interview questionnaire was used and the face-to-face interview was conducted. Women
perceived the causes of UP as unsafe childbirth, heavy work during the postpartum period, and
gender discrimination. The results of our study are useful to generate information on UP symptoms
and female health care seeking practices. When asked about his professional opinions regarding
uterine prolapse, he spoke about how common the medical issue is in the Nepali community. Moving
forward, Yunesh is looking to bolster CWN’s grassroots, hands on approach to advocacy, and
working towards a Nepal in which vital social programming such as health and education is
indiscriminately available to all persons. Current data insufficiently determine women’s awareness of
this condition. Uterovaginal prolapse is primarily a common gynaecological condition of the parous
and elderly postmenopausal women associated with a decreased body image and quality of life. She
felt that even if she died on the table during the operation, it was worth the risk. Some were referred
to a health facility or called a health worker if they encountered complications. During an in-depth
interview, one 55-year-old woman said. When asked if they would have been able to see a doctor,
nurse or another healthcare professional if this camp were not available the answer was more often
than not, no. The remaining affected participants (26%) said they had periodic sexual relationships
with their spouse. Briefly, we used an audio recorder to capture participants’ voices and transcribed
the recordings verbatim.
Education of women, women empowerment, effective antenatal care, supervised hospital deliveries,
and limiting the family size by efficient contraception deserve priority attention to prevent this social
malady. Since then, Indira has worked tirelessly to advocate for the rights of women in Nepal by
hosting health camps, providing emergency relief and carrying out water and sanitation projects in
Dhankuta. Women in developing countries in Asia and Africa are affected at much higher rates than
what is reported. This condition is important to gynaecologists practicing in Sub-Saharan Africa
because of its strong link with multiparity, poor conduct of labour, and most importantly, its role as a
cause of chronic morbidity in many post-menopausal women necessitating major gynaecological
surgeries. Yunesh has obtained a Bachelors of Commerce from the Shriram College of Commerce at
the University of Delhi in Delhi, and a Masters in International Relations and Diplomacy from
Tribhuvan University in Kathmandu. Women with UP might present with vague symptoms which
poses difficulties for proper diagnosis. I was also expecting a moment of time to witness the
resilience, passion, love, and beauty of the people I met. Women are facing barriers to access health
care for UP such as lack of awareness about available treatment, lack of decision making authority
for medical treatment, and lack of funds to cover treatment costs. Discriminatory gender norms and
value systems make women more vulnerable to gender-power relations and place men in a higher
position. Conclusions UP adversely affects women’s daily life and negatively influences their
physical, mental, and social well-being. Among these, 59% also experienced burning and pain during
urination and 28% experienced stress incontinence during coughing and sneezing. We used an audio
recorder to capture the women’s voices, and we stopped the interview when we achieved saturation.
The mixedmethod approach included quantitative interviews with 115 respondents and qualitative
in-depth interviews with 16 UP-affected women in rural Nepal. In Nepal, the prevalence of UP in
women varies from 10 to 40% due to several underlying causes. When she asked if she likes her
specialty, she smiled and said she prefers obstetrics because there are so many good moments.
Moreover, spouses and other family members humiliated and harassed women with UP. Only one
family member, an in-law, encouraged her decision to come with Care Women Nepal for this
operation. The average number of live births was seven, the average number of miscarriages was four.
Vaginal delivery is an option; however, most obstetricians opt for elective caesarean section at term.
The severity of uterine prolapse is determined according its degree, first degree when the uterine
cervix protrudes into the lower third of the vagina, second degree when the cervix protrudes past the
vaginal opening and the third degree when the entire uterus protrudes past the vaginal opening. The
process is outlined in sequence to demonstrate how both the quantitative and qualitative studies were
organized. Going into the operation, Uma was the only one of the four women that were not scared.
She had her second child at 15, and shortly after felt her uterus was slipping - a condition that has
remained untreated. Among those, one fourth experienced painful sexual intercourse. Conclusion:
The study concluded that more than half of the respondents had inadequate knowledge about uterine
prolapse. Socially marginalized (i.e., disadvantaged) women from the Janajati and Dalit groups
accounted for 11% and 19% of our study population, respectively. We thank scientific editor Karen
Williams (Kwills Editing Services, Weymouth, MA, USA) for providing professional English-
language editing of this article. However, I have to manage travel and other additional costs for
patient visit and food. Then we coordinated with the district health office and health workers of
local health facilities in our study VDCs to mobilize female community health volunteers. Second
degree prolapse was the commonest type of presentation (48%) and the definitive treatment modality
was vaginal hysterectomy with pelvic floor repair (44%).
Because too much force can break any structure, muscles and ligaments may fail when stressed
beyond their limits. Different Types of Heart Surgery Offered at Gokuldas Hospital Exploring Treat.
Study participants exhibited low self-esteem, which they frequently described as anxiety, aggression,
frustration, and despondency. Current data insufficiently determine women’s awareness of this
condition. We also aimed to determine the prevalence of UP in both rural and peri-urban settings of
Nepal. Prior to visiting these camps some women (42%) hid UP for more than 10 years. These were
located in health facilities of the study VDCs such as Aganchok, Chainpur, Dhola, Fulkharka,
Jyamrung, Salyangkot, Salyangtar, Tripureswar, Salang, and other VDCs. Men believed that UP is an
inevitable result of childbirth and obstetric complications. Despite these limitations, our study has a
number of strengths. There’s just this look in an expecting mother’s eyes when she’s told everything
looks good, an expression of relief, joy, and love that isn’t limited to Nepal. She fears that if she
were to continue to live with her husband’s family, they may treat her poorly because she is unable to
work as much as she once did. Many times my sister-in-law scolded me by saying “leave home”; I
was about to leave home but the neighbor rescued me. During his medical career, he has performed
at least 5,000 surgeries to correct uterine prolapse. In his spare time, Yunesh enjoys reading the news
and playing cricket. Our study is therefore timely and relevant as it contributes to increased
knowledge about women’s UP symptoms. We here describe women’s experiences of UP and its
effects on daily life, its perceived causes, and women’s health care-seeking practices in a rural hilly
district of Nepal. Relevant data were obtained from the case notes, which included age, parity,
presenting symptoms, number of living children, types of delivery, types of surgical management and
associated operative morbidity and mortality. Authors’ contributions BS designed the study,
developed the data collection tools, undertook data analysis, and drafted the manuscript. Gokuldas
Hospital SBAR COMMUNICATION MODEL SBAR COMMUNICATION MODEL Rommel Luis
III Israel 2. There were reports of misuse, many women who were told their uterus was removed
found that it wasn’t, and women who had undergone surgery started having more reproductive
health problems,” Uprety said. Also, there was a significant decrease in the age of patients admitted
to the OT as well as a significant decrease in the admission of foreign nationals. Case 2 was a G6P5
at 35 weeks who presented with an acute abdomen and went into shock. This substantial educational
gap impacts women’s employment and decision making opportunities regarding their health. Female
community health volunteers bridge the distance from households to health facilities and outreach
clinics. The condition developed after she terminated a pregnancy and has significantly impacted her
daily activities. At some point, two female politicians in her village promised to help her obtain the
operation. She has had her ring pessary changed twice since having it placed. She sought care in
private from an NGO working in the area but was only given ointment that did little to address her
suffering. Methods: This Thesis used cross-sectional descriptive studies. Women with UP might
present with vague symptoms which poses difficulties for proper diagnosis. The uterine prolapse
resulted in difficulty giving birth and worsened with each child.
Affected women guiltily accepted any undesired sexual relationship and endured painful sexual
intercourse because they depend on their spouse’s income. Moving forward, Yunesh is looking to
bolster CWN’s grassroots, hands on approach to advocacy, and working towards a Nepal in which
vital social programming such as health and education is indiscriminately available to all persons.
Second degree prolapse was the commonest type of presentation (48%) and the definitive treatment
modality was vaginal hysterectomy with pelvic floor repair (44%). The results of our study are
useful to generate information on UP symptoms and female health care seeking practices. Her son
even called her before her operation, scolding her, “Why are you doing this?” Ultimately, she
confidently made the decision for herself and is very excited to be moving forward without the pain
of uterine prolapse. You can download the paper by clicking the button above. A statistical analysis
was done using professional software, namely SPSS (through t-tests, binomial tests and binary
logistic regression). Uprety and other health experts say women only need surgery if they have third
degree prolapse, and in rare cases second degree. During an in-depth interview, one 50-year-old
participant said. Then we coordinated with the district health office and health workers of local
health facilities in our study VDCs to mobilize female community health volunteers. The severity of
uterine prolapse is determined according its degree, first degree when the uterine cervix protrudes
into the lower third of the vagina, second degree when the cervix protrudes past the vaginal opening
and the third degree when the entire uterus protrudes past the vaginal opening. The results of our
study are useful to generate information on UP symptoms and female health care seeking practices.
Relevant data were obtained from the case notes, which included age, parity, presenting symptoms,
number of living children, types of delivery, types of surgical management and associated operative
morbidity and mortality. During in-depth interviews, participants mentioned that they did not have
opportunity to rest because, according to tradition, the daughter-in-law is responsible for all
household chores. He can form a basic hysterectomy in 15 minutes, around half the time it takes
other surgeons. The prevalence of uterovaginal prolapse was 3.4%. Thirty three (66%) of them were
postmenopausal. Authors’ original submitted files for images Below are the links to the authors’
original submitted files for images. This influenced their daily work by limiting their mobility and
capacity for manual work in the household and the fields (Table 2 ). Different Types of Heart
Surgery Offered at Gokuldas Hospital Exploring Treat. Download Free PDF View PDF Life-Saving
Effects of Fetal Tracheal Occlusion on Pulmonary Hypoplasia From Preterm Premature Rupture of
Membranes Mario Sandez Loya BACKGROUND: Preterm premature rupture of membranes before
22 weeks of gestation may result in severe fetal pulmonary hypoplasia. The possible implications of
these figures are further discussed in the paper. Despite these limitations, our study has a number of
strengths. Download Free PDF View PDF International Journal of Reproduction, Contraception,
Obstetrics and Gynecology Towards optimizing caesarean section: a five-year review of caesarean
sections at a Southern Nigeria hospital Olakunle Makinde, Nkencho Osegi Background: Monitoring
caesarean sections at hospital level is essential to reduce unnecessary caesarean sections while still
ensuring adequate access to caesarean section. Health care seeking practices for uterine prolapse in
Nepal are inadequate. We also aimed to determine the prevalence of UP in both rural and peri-urban
settings of Nepal. During an in-depth interview, one 55-year-old woman said. RELATED TOPICS
Health Sciences Medical Surgical Nursing Adult Health Nursing See Full PDF Download PDF
About Press Blog People Papers Topics Job Board We're Hiring. There’s the doctor so engrossed in
her work that I’m a little worried she’s forgotten to breathe in the last ten years. Cultural issue and
delay in health care-seeking We determined that one perceived barrier to health care for UP was a
woman’s feeling of shame, because UP involves a sensitive part of the body. GlobalGiving makes
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