Abstract:
Background: Abnormal uterine bleeding is any uterine bleeding that differs from typical menstruation. It differs in terms of frequency of bleeding, duration, and volume of bleeding during menstrual cycle. It is a major gynecological problem for medical visits among women in the reproductive aged group. In this study the prevalence of abnormal uterine bleeding can be addressed by using the new definition of AUB, especially in Ethiopia.
Objective: The objective of the study is to assess the prevalence and the associated factors of abnormal uterine bleeding among women of reproductive age in Seden Sodo health facilities, South West Shoa, Oromia, Ethiopia.
Method: An institution based cross-sectional study design was utilized. Data were collected through face-to-face interviews using a structured and pretested questionnaire. Data were entered into Epi data 4.6.06 and analysed using SPSS version 21 statistical packages. All predictor variables with p value <0.25 in bi variable analysis were entered into multivariable logistic regression analysis. Variables with a p value of less than 0.05 in the multivariable analysis were taken as statistically significant predictors of abnormal uterine bleeding.
Result: In the current study, 364 women participated with a response rate of 95%. Of all the total respondents, the prevalence of abnormal uterine bleeding was 33.8%. From a total woman with abnormal uterine bleeding, the prevalence of heavy menstrual bleeding (27.7%) was the highest of the pattern of AUB. Age < 20 years old [AOR: 1.4 (95% CI: (1.13-2.22)], Obese [AOR: 6.8 (95% CI: (1.5-30. 7)], Over weight [AOR: 2.14 (95% CI: (1.06-4.34)], history of current sexual transmission infection [AOR: 17.46 (95% CI: (7.9.-38.58)], and current use of intra uterine device of contraceptive and other contraceptive [AOR: 14.8 (95% CI: 6.71-32.63)] were the variables significantly associated with the prevalence of abnormal uterine bleeding.
Conclusion: As the prevalence rate of AUB was considerable, awareness about AUB should be provided to women and in addition, women should be encouraged to report their menstrual abnormalities so that primary care can be accessed at the earliest to prevent complications that can easily hamper their quality of life and fertility and positive association as risk factors
