JNUR_V1_N3_RP4 Mukesh Kumar Mishra Tej Prasada Adhikari Journal on Nursing 2231 – 4504 1 3 25 36 Uterine Prolapse, Madhesh, Social Taboo, Reproductive Health, Maternal Death Uterus prolapse (UP) is a severe public health concern among married women of Madhesh and is poorly addressed by the state. It has multiple effects in the lives of married women. Systematic studies evaluating the impacts of Uterine prolapse on Madheshi Women's life is not carried out in Nepal. This study sheds light on the investigation of, whether gender beliefs and gender-skewed cultural practices have association with high prevalence of UP and what are the impacts and predictors of UP for Madheshi women? The study is based on action oriented research conducted by Centre for Agro-ecology and Development (CAED) in two districts (Saptari, Siraha ) of Eastern Tarai (Madhesh) from 2300 households. The bi variant analysis is carried out applying some basic mathematical measures like percentage, frequency table, cross tabulation, bar graphs or pie charts to analyze the results. The results shows that the UP prevalence rate was found 37 per cent among the married women of two districts of Madhesh which is very high in comparison to the average UP prevalence rate of Nepal. A strong association of UP was found with education, working behaviors, frequencies of birth, age at marriage and maternal care during prenatal to postnatal period. Delivery is often facilitated by untrained assistants using push and pulls methods that result in pelvic damage. The recovery period after delivery is defined by socio-cultural prescriptions and household needs that disregard the woman's physical readiness to resume work and let women face UP. Finally the author concluded that Special attention need to be paid, in particular to the UP prevalence rate of Madhesh. The socio-cultural barriers of UP are to be tackled well to minimize UP. The Convention on the Elimination of all forms of Discrimination against Women (CEDAW) should be given priority by the state and reproductive health interventions programs that can legitimately challenge the social causation of uterine prolapse as part of a broad prevention strategy should be emphasized. August - October 2011 Copyright © 2011 i-manager publications. All rights reserved. i-manager Publications http://www.imanagerpublications.com/Article.aspx?ArticleId=1523