[Risk factors for genital prolapse in a Brazilian population].
OBJECTIVE
to evaluate risk factors for the development of genital prolapse in the Brazilian population.


METHODS
case-control study involving 316 patients submitted to prolapse staging, according to the pelvic organ prolapse quantification system. The patients were divided into two groups: in the Case Group there were 107 patients with prolapse at stage III or IV, and in the Control Group, 209 women at stage 0 or I. In the anamnesis, the selected women have been questioned about the presence of possible risk factors for genital prolapse, such as: age, menopause age, parturition, delivery type (vaginal, caesarean section or forceps), occurrence of fetal macrosomia, family history of genital dystopia in first degree relatives, chronic cough and intestinal constipation.


RESULTS
The variables that were different between the groups were: age, body mass index, parturition, number of vaginal, caesarean section or forceps deliveries, newborn weight and positive family history for prolapse. Race, menopause age, chronic cough and intestinal constipation did not present differences between the groups. After logistic regression, only three variables have been shown to be independent risk factors: presence of at least one vaginal delivery, fetal macrosomia and positive family history for dystopia. Cesarean section was shown to be a protective factor.


CONCLUSIONS
in the Brazilian population, the independent risk factor for genital prolapse were: personal antecedent of at least one vaginal delivery, fetal macrosomia and family history of dystopia.
Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil. deamrodrigues@hotmail.com
Andrea Moura
AM
Rodrigues
Letícia Maria
LM
de Oliveira
Karina de Falco
Kde F
Martins
Carlos Antônio
CA
Del Roy
Marair Gracio Ferreira
MG
Sartori
Manoel João Batista Castello
MJ
Girão
Rodrigo de Aquino
Rde A
Castro
D000367:Age Factors; D000368:Aged; D001724:Birth Weight; D015992:Body Mass Index; D001938:Brazil; D016022:Case-Control Studies; D036861:Delivery, Obstetric / Q000009:adverse effects; D005260:Female; D005320:Fetal Macrosomia; D006801:Humans; D010298:Parity; D011247:Pregnancy; D012307:Risk Factors; D014596:Uterine Prolapse / Q000209:etiology*