WfWF data

Over a period of 3 years (2011-2014) WfWF organized in collaboration with RHEST, Cosan, stichting Veldwerk and Maternity Paropakar Hospital, 66 gyno-camps in 15 VDCs in Dhading, ranging from 2 to 5 gyno-camp per VDC.3A total of 4087 women were seen, of whom 3350 (82%) once, and 737 (18%) multiple times. 861 women (40%) of the total group of women with POP 1-4 (n=2392) received pessaries. Of these 861 women 363 (42%) were seen again, and 507 (58%) were not seen again. Among the group of women who were seen again (n=363), 50% were using a pessary. The majority of these women (75%) tend to handle the pessary themselves; the remainder visit the healthcare post for a check up. In 40% of those cases where the pessary is no longer used, the reason given is that the pessary has become dislodged. In 28% of the women who got a pessary at first visit, the pessary has been prematurely removed due to pain symptoms. 

 

In 2009, a follow-up study of a WfWF gynocamp in 2007 was completed.4All women who visited the gynocamp in 2007 completed also a questionnaire. In 2008 during a gynocamp in the same VDC, all women treated for POP with a pessary (n=120) were invited for follow-up. From these women, 47 did come (39%) and 24 women still used the pessary. Within the pessary users, 20 women were satisfied and felt improvement of their earlier complaints. Most of the women, who did not used the pessary after one year, told that they had lost the pessary. 

 

A small follow up study on the results of pessary treatment was conducted in 2008.5Researchers adapted the Pelvic Floor Distress Inventory short, as the original version was too long and complicated for both interviewers and women. In total 40 pessary-treated women were included, of which 23 still used the pessary and 20 of them were satisfied with its effect. From them, 17 stopped pessary due to fell out, pain, or discharge. Mostly women stopped either during the first month of treatment or in the month before the follow up. Within this population, a qualitative research with interviews among 12 women with POP and before treatment was done. Sudden pain, shame and fear through ignorance were the most discussed items.