الفهرس 
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Abstract
Uterine prolapse refers to a condition in which the uterus
slip out below its normal anatomical position in the pelvic
cavity, which protruded into vaginal canal or entirely inverted
outside the vagina that called procidentia. This may be
associated with one or more of pelvic floor disorders, such
as vaginal prolapse and rectocele (Kenny and Wright, 2011).
Uterine prolapse has multiple approaches for treatment,
which include conservative treatment as pessary, estrogen
topical application, and surgical treatment. However, some of
these treatment modalities may cause complications that affect
women’s life. Maya massage is one of the alternative therapies
which help in natural healing with external non-invasive self
manipulation for abdominal pelvic organs (Lewis, 2013).
Nurses play important roles in the diagnosis and
treatment of uterine prolapse, which helps women adapt with
their lifestyle modifications by providing health care services
and increasiing awareness about uterine prolapse and Maya
abdominal self-care massage as a type of complementary
alternative therapy “CAT” for uterine prolapse to be safe and
effective treatment (Yildirim et al., 2010).
The present study aimed to investigate the effect of Maya
massage on relieving uterine prolapse degrees. To achieve the
study objective, an intervention study had been implemented at
Gynaecological Outpatient Clinic and Urogenital Dynamic Unit
at Ain-Shams University Maternity Hospital. A purposive
sample was used to recruit thirty women with 0, I, II stages of
uterine prolapse.
Data collection had been carried out through the period
from the beginning of December 2013 to the end of July 2014.
Two tools of data were used: the first tool was an
interviewing questionnaire sheet named ”women’s knowledge
regarding Maya massage for uterine prolapse treatment” to
assess socio- demographic characteristics of women’s life style,
medical-surgical, obstetric history, and knowledge regarding
uterine prolapse and Maya massage; the second was a uterine
prolapse manifestation follow up sheet to assess the
manifestations of uterine prolapse which included (8)
manifestations.
The results of present study revealed that:
women’s age range was between less than twenty to thirty
nine, as 70.0% of them were in the age range between 30 to
39 years with mean age (32.1 ± 3.34). Regarding their
residence, 66.7% of them came from urban area. As for
their working and marital status, all the studied women
were married and house wives. In addition, 40.0%, 30.0%,
and 30.0% of them were able to read & write, finished their
primary and university education respectively.
Regarding women’s life style, none of them was smoking
while 66.7% of them carried heavy objects. Moreover,
30.0% and 70.0% of the studied women had mild and
moderate obesity respectively.
Meanwhile, none of the studied women had any chronic
diseases. 70.0% of the studied women had pelvic abdominal
surgery.
Concerning women’s gravida and para, 40.0% of them
had four to five times pregnancy and delivery. As for mode
of delivery, 60.0% and 40.0% of them had normal and
instrumental delivery respectively. Moreover, all of the
studied women had associated complication with delivery.
80.0% of the studied women had incomplete correct
knowledge regarding uterine prolapse. 100.0% of the
studied women had incorrect knowledge regarding Maya
massage.
100.0%, i.e., all of the studied women had a total mild
manifestation of uterine prolapse before intervention.
70.0% of the studied women had a total mild
manifestation of uterine prolapse after intervention by 8
weeks.
30.0% of the studied women had a total mild
manifestation of uterine prolapse after intervention by 12
weeks.
Finally, there was a highly statistical significant
difference between the mean score of uterine prolapse
manifestation before, and 12 weeks after intervention.
In conclusion, the study revealed that Maya massage
significantly relieved uterine prolapse manifestation after
intervention by eight and twelve weeks that reflected upon
relieving uterine prolapse degrees. Based on this finding, the
researcher recommended Maya massage as a complementary
alternative therapy, being one of most effective therapeutic
options for relieving uterine prolapse manifestations.