Nepal has the highest maternal death rate of all South Asian countries. The rate of maternal morbidity is very high as well. Women do not receive appropriate pre- or post-natal care. Nepali women regularly give birth at home with very little preparation and assistance.

Improper techniques used during delivery (such as applying pressure to the abdomen before delivery stage and pressing on the lower abdomen after delivery to expel the placenta) can damage a woman’s pelvic muscles and create conditions that enable prolapse. In Nepal, approximately 90% of women give birth without the assistance of a trained birth assistant (UNICEF), and instead are guided through delivery by untrained relatives, neighbors, etc., who employ improper “push and pull” techniques that can lead to pelvic damage. The pelvic damage that results is a cause of uterine prolapse.

	Kapurni Kumari Raja
	Logani Devi Sadaya
	Sili Bati Yadav