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Uterine prolapse rampant among rural women

SURKHET, Sept 20: Geeta Rokaya, 22, has been dealing with the problem of uterus prolapse since the delivery of her first child. Married at the age of 16, she always felt the pain in her lower abdomen after giving birth to her first child. Later, it was found that her uterus prolapse was in the second stage.
By Nagendra Upadhyaya

SURKHET, Sept 20: Geeta Rokaya, 22, has been dealing with the problem of uterus prolapse since the delivery of her first child. Married at the age of 16, she always felt the pain in her lower abdomen after giving birth to her first child. Later, it was found that her uterus prolapse was in second stage. 



“I had to carry heavy loads of woods and grasses and perform other household tasks during my pregnancy,” said Geeta who is a resident of Simta Rural Municipality-6, Aali, adding, “I got no proper care during my pregnancy and even after the delivery of my child. So, I had to deal with this problem." 



After the miscarriage of her third child, Lalita Sunar, 60, had uterus prolapse. “Neither my husband nor my sons and daughters-in-law heard about my agony when I told them to do my health check-up,” laments Sunar.



 Lions Club of Surkhet Bulbule, Serofero and Lions Club of Simta Rural Municipality conducted a free health camp on Saturday. More than 400 females of Salyan and Surkhet were benefitted by the health checkups. Among them, 85 female were diagnosed with uterine prolapse. 



“Uterine prolapsed is very common among the rural women,” stated Dr Keshar Dhakal, a gynecologist of Mid Western Zonal Hospital, Kalagaun. 



According to Dhakal, the problem is the result of heavy work and no rest during pregnancies and post-pregnancy.



Similarly, Dhansara Khanal, 49, of Simta-4, Bajedi Chauri, has been bearing the agony of lower abdomen pain since the last 20 years.  Khanal who has four children started suffering from abdomen pain since the delivery of her first child. After her husband brought a second wife, she had to shoulder the responsibility of all of her children on her own.



 “I can neither sit nor stand problem.  Despite knowing the reason behind the problem, I still have no other option than carrying loads and performing household works,” Khanal said with a doleful smile, adding, “Due to financial crisis, tolerating the pain has been an obligation not a choice.” 



As per Dhakal, uterine prolapse requires surgery if it is in the third and fourth stage. In less complicated cases, exercise or a ring pessary is necessary. Likewise, pregnant and delivered women carrying heavy loads, lack of nutrition, hemorrhage are the major reason for the prolapse, informed Dhakal. According to Dhakal some of the cases are really critical.  “Some women even had cancer in their uterus,” he informed.


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