Pelvic Inflammatory Disease among the Women Attended in Rapti Sub-Regional Hospital, Nepal

Abstract

Introduction: Pelvic inflammatory disease (PID) is a disease that affects commonly young, sexually active, reproductive-age women. Infection spread from the vagina through the uterine cavity and has a wide range of clinical manifestations. Objectives: To determine the Health related behavioral factors, disease related factors to pelvic inflammatory disease and to identify the association of socio-demographic factors, health behavioral factors and disease related factors of women with pelvic inflammatory disease. Methods: A cross-sectional study was conducted among all women of reproductive age who attended the gynecology Department of Rapti Sub–Regional Hospital of Dang, Nepal. Non probability convenience sampling technique was used to collect data of 325 participants by using semi- structured questionnaire. The data was analyzed in SPSS version 16.00. Results: Among 325 women 125 (38%) had PID and 200 (62%) didn't have. Status of PID was found to be statistically significant with religion (ꭓ2 = 12.7, P-value=0.003), and cast of respondents (ꭓ2=14.9, P-value = 0.002). There was statistical association between PID with menstruation (ꭓ2=28.8, P-value=0.000), genital hygiene during menstruation (ꭓ2 = 51.7, P-value = 0.000), things used during menstruation (ꭓ2 = 15.05, P-value = 0.000), pad change per day (ꭓ2 = 55.4, P-value = 0.000),  place of delivery (ꭓ2 = 19.06, P-value = 0.000), UTI related problem (ꭓ2 = 58.82, P-value = 0.000) and any RTIs (ꭓ2 = 67.91, P-value = 0.000). Conclusion: Around one third of women had the Pelvic inflammatory disease. Status of PID was high in women who have poor genital hygiene during menstruation, less number of pad change per day, UTI related problem and any RTI.