FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN PROLAPSUS UTERI DI RSUP Dr. KARIADI SEMARANG

Abstract

Background: Uterine prolapse is a form of pelvic organ prolapse and ranks the second most common after cystourethrocele. The prevalence of pelvic organ prolapse is 41-50% in women aged over 40 years old and will increase in line with life expectancy increase. Although uterine prolapse rarely cause mortality and severe morbidity, but it can affect women’s quality of life. Prolapse etiology has not known certainly, but there are several factors that are considered as the cause. Objective: To determine the incidence of uterine prolapse, uterine prolapse patient characteristics and factors related to the incidence of uterine prolapse in Dr. Kariadi Hospital Semarang. Methods: An analytic observational study with cross-sectional design used medical records of uterine prolapse patients in Dr. Kariadi Hospital, during the years 2013 to 2014. Sampling was done by consecutive sampling and 56 medical records of uterine prolapse patients who met the inclusion criteria were obtained. Descriptive analysis was shown in the form of frequency and percentage distribution table, while the analytic analysis used Chi-square test and logistic regression. Results: There were 56 cases of uterine prolapse during the years 2013 to 2014. Most uterine prolapse patients aged over 50 years old (80.4%), multiparous (82.1%), post-menopausal (83.9%) and BMI < 25 kg/m2 (51.8%). Based on Chi-square test, there was a significant association between parity, age and menopause with uterine prolapse incidence (p = 0.000) however there was no significant association between BMI with uterine prolapse incidence (p = 0.643). The final result using multivariate logistic regression analysis found that age was the most influential factor on the incidence of uterine prolapse (p = 0.000) and OR = 102.5 (10.3-1020.058, CI 95%). Conclusions: There was association between parity, age and menopause with uterine prolapse incidence and age was the factors most associated with uterine prolapse incidence. Key words: uterine prolapse, parity, age, menopause, BMI