To explore the relationship between hysterectomy and hypertension among reproductive-aged women in Maharashtra, focusing on socioeconomic factors.
Key Findings:
Prevalence of hysterectomy among hypertensive women was 7.8%, more than double the overall prevalence of 3%.
Higher prevalence observed in women aged 40-49 years and those in rural areas.
Majority of hysterectomies performed in private healthcare facilities.
Increased prevalence associated with lower education, lower wealth, higher parity, obesity (11.6%), and female sterilization (13.7%).
Abnormal uterine bleeding was the most common indication for hysterectomy.
Interpretation:
Hypertension may act as both a risk factor and a postoperative complication for women undergoing hysterectomy, indicating a complex relationship influenced by socioeconomic factors.
Limitations:
Study limited to women aged 15-49 years in Maharashtra, which may not represent all demographics.
Data reliant on self-reported health status and medical history.
Conclusion:
The study underscores the need for comprehensive preoperative screening and postoperative monitoring of blood pressure, along with targeted public health interventions to address socioeconomic disparities in gynecological care.