{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T19:29:33Z","timestamp":1773343773946,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,10,7]],"date-time":"2013-10-07T00:00:00Z","timestamp":1381104000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2014,2]]},"abstract":"Abstract<\/jats:title>Aim<\/jats:title>This study was carried out in order to identify the determinants of pelvic organ prolapse (POP<\/jats:styled-content>) among the women of the western part of N<\/jats:styled-content>epal.<\/jats:p><\/jats:sec>Methods<\/jats:title>This was a matched case\u2013control study. Cases were defined as women diagnosed with third and fourth degree POP<\/jats:styled-content>, and the control group consisted of women who were screened and confirmed of not having any degree of POP<\/jats:styled-content>. Cases (n<\/jats:italic>\u2009=\u2009183) and controls (n<\/jats:italic>\u2009=\u2009183) were randomly selected and for each case, one control was selected, matched by age and place of residence. A semistructured interview was carried out to obtain the information for both groups. Bivariate analysis along with conditional logistic regression analysis was carried out to identify the association between selected variables with POP<\/jats:styled-content>.<\/jats:p><\/jats:sec>Results<\/jats:title>The results showed the significant association between number of vaginal deliveries, tear of vagina in the last childbirth, sphincter damage in the last childbirth and duration of labor in the last childbirth with POP<\/jats:styled-content>, after adjusting for educational status of the women, carrying heavy loads, type of usual work and incidence of diarrhea.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>The results suggest that prolonged labor along with vaginal delivery having sphincter and vaginal tear are the determinants of POP<\/jats:styled-content> and program managers should strongly consider these factors to develop interventions targeting the prevention of POP<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.12168","type":"journal-article","created":{"date-parts":[[2013,10,12]],"date-time":"2013-10-12T02:31:05Z","timestamp":1381545065000},"page":"515-520","source":"Crossref","is-referenced-by-count":15,"title":["Determinants of pelvic organ prolapse among the women of the western part of N<\/scp>epal: A case\u2013control study"],"prefix":"10.1111","volume":"40","author":[{"given":"Subash","family":"Thapa","sequence":"first","affiliation":[{"name":"Department of Public Health Nepal Institute of Health Sciences Kathmandu Bagmati Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mangesh","family":"Angdembe","sequence":"additional","affiliation":[{"name":"School of Public Health and Community Medicine B. 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Koirala Institute of Health Sciences Dharan Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepak","family":"Chauhan","sequence":"additional","affiliation":[{"name":"Department of Public Health Nepal Institute of Health Sciences Kathmandu Bagmati Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ranjila","family":"Joshi","sequence":"additional","affiliation":[{"name":"Department of Public Health Nepal Institute of Health Sciences Kathmandu Bagmati Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,10,7]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"56","article-title":"The vaginal profile","volume":"64","author":"Baden WF","year":"1968","journal-title":"Tex Med J"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004014.pub4"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.3126\/njog.v2i2.1453"},{"key":"e_1_2_7_5_1","volume-title":"Uterus Prolapse: A Key Maternal Morbidity Factor Amongst Nepali Women: A Study","author":"Deuba A","year":"2005"},{"key":"e_1_2_7_6_1","volume-title":"Unheeded Agonies: A Study of Uterine Prolapse Prevalence and Its Causes in Siraha and Saptari Districts, Nepal","author":"Pradhan S","year":"2007"},{"key":"e_1_2_7_7_1","volume-title":"Addressing Gender and Poverty Concerns in A Reproductive Health Programme","author":"Chatterjee M","year":"1996"},{"key":"e_1_2_7_8_1","first-page":"281","article-title":"Uterine prolapse in rural Nepal: Gender and human rights implications. 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