Women’s Lived Experience with Hysterectomy secondary to uterine prolapse and uterine rupture at Gedeo zone, Ethiopia. A phenomenological qualitative study

Abstract Background Uterine rupture is a life-threatening obstetric emergency requiring immediate medical intervention to prevent maternal death or severe morbidity. Hysterectomy, often performed in response to uterine rupture and uterovaginal prolapse, is the most common gynecologic surgery in such cases. This study aimed to explore the lived experiences of women who underwent hysterectomy secondary to uterine rupture and uterovaginal prolapse. Methodology: A phenomenological qualitative study was conducted among hysterectomized women at Dilla University Referral Hospital in 2020. Using purposive sampling, data were collected through structured in-depth interviews, supplemented by field notes, and audio recordings. A manual thematic analysis was employed to examine the data, and findings were presented in both text and table form. Results Thirteen women participated in the study, sharing their post-hysterectomy experiences due to uterine rupture and uterovaginal prolapse. Their narratives were categorized into three key themes: (1) limitations in daily activities, (2) reproductive and sexual health concerns, and (3) psychosocial burdens from societal and familial expectations. Common challenges included pain during movement, inability to lift heavy objects, anxiety about infertility, and significant psychological and social distress. Conclusion Women who undergo hysterectomy due to uterine rupture and prolapse face significant physical, reproductive, and emotional challenges. Comprehensive post-surgical care and support are crucial. Addressing these needs can improve their quality of life.