Determinants and Symptoms Severity of Pelvic Organ Prolapse and Its Effect on Physical Activities among the Elderly versus Childbearing Women

Background: Pelvic organ prolapse (POP) is a common reproductive problem affecting more than one-third of women between 20–59 years age, and more than half over 60 years worldwide, negatively their daily physical activities. Aim: To assess determinants symptoms severity pelvic its effect on physical activities among the elderly versus childbearing women. Methodology: A descriptive research design was carried out purposive sample 300 cases (150 for each old age women) attended to outpatient gynecologic clinic Minia Maternal Child University Hospital, at governorate, Egypt, period six months from October 2019 till March 2020, met following inclusion criteria: Females were childbearing age (≥ 18-49 yrs.), old age (≥60 diagnosed as (POP), able to communicate agree participate in study. Tools: Three tools utilized collect data. First tool: Structured questionnaire sheet covered (demographic data, medical and obstetrical history, self-reported POP). Second Severity POP assessment tool. Third Physical activities assessment scale (ASS). Results: It found that 50% (23%) had severe symptoms of POP, moreover, (66.7% & 13.3%) them respectively greater impairment their physical with highly statistically significant difference two studied groups, there positive correlation the degree both studied groups. Furthermore, multiple linear regression analysis reflected that higher parity, vaginal deliveries, level education, body mass index, duration prolapse, chronic constipation significantly affected the severity Conclusion: The POP symptoms which consequently lowering Additionally, (aging, malpractice floor exercise, higher overweight, constipation, heavy lifting) are the commonest leading determinants POP associated of prolapse sample. Recommendations: An urgent need health educational intervention by health care providers targeting primary prevention considering the concluded well secondary women with mild moderate degree genital all places especially rural communities.