Determinants of obstetric fistula in South-western Ethiopia

Tilahun, Temesgen; Sura, Belina; Atomssa, Emiru Merdassa

doi:10.1007/s00192-021-04690-5

Cited by 4 publications

(6 citation statements)

References 11 publications

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“…The socio-demographic profile of women suffering from OF in the present study is consistent with data reported in the literature [ 12 , 13 ]. OF affects mostly young women of reproductive age.…”

Section: Discussionsupporting

confidence: 91%

“…In a case-control study designed to identify risk factors for OF, Tilahun et al . showed that age at the pregnancy of < 18 years, residing in rural areas, lack of antenatal care, no history of modern contraception utilization, post-term pregnancy and duration of labor > 24 hours were associated with OF [ 12 , 13 ]. In the present study, 86% of the patients live in rural areas.…”

Section: Discussionmentioning

confidence: 99%

“…This finding is consistent with that of Tilahun et al . who showed that 81.2% of women with OF live in rural areas [ 13 ]. In these rural areas, women's access to quality obstetrical care is limited.…”

Section: Discussionmentioning

confidence: 99%

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Characteristics of obstetric urogenital fistulas in a regional teaching hospital in Burkina Faso: a retrospective cross-sectional study

Traore¹,

Ouédraogo²,

Kaboré³

et al. 2023

Pan Afr Med J

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Introduction Obstetric fistula (OF) remains a major public health problem in low-income countries. This study aimed to investigate the sociodemographic, clinical, and therapeutic characteristics of obstetric urogenital fistulas in a regional teaching hospital in Burkina Faso. Methods a retrospective cross-sectional study from 1 st January 2015 to 31 st December 2019 included 50 women who underwent OF surgery repair in the regional teaching hospital of Ouahigouya in Burkina Faso. Case identification was completed by self-reported constant urine leakage and was confirmed by clinical assessment. Data on socio-demographic, clinical, and therapeutic characteristics have been collected from the hospital medical records and analyzed. Results the mean age of the patients was 29.40 ± 9.4 years (range 15 -55 years). The majority of patients were in the age group between (15-25) years old (44%). Forty-three patients (86%) were residing in rural areas and forty-seven patients (94%) were housekeepers. Twenty-six patients (52%) were primiparous. The majority of patients had received no prenatal care 29 (58%). The majority of patients had a spontaneous vaginal delivery 36 (72%). The duration of labor was greater than 48 hours in 31 (62%) patients. Vesicovaginal fistulas (VVF) accounted for 80% of cases. Ten (20%) patients had previously undergone surgery for the same fistula. The mean size of the fistulas was 1.8±1.4 cm (range 0.5 - 6 cm). At three months of follow-up, the successful closure rate was 68%. Sixteen (32%) patients have experienced a failure of fistula closure. Conclusion the majority of fistula survivors were women of reproductive age who were living in rural areas and housekeepers. Mothers having no antenatal care, and having prolonged labor were at increased risk of developing OF. The majority of fistulas were simple fistulas and the most common type of OF was VVF. Surgical outcomes showed a high failure rate.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

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Characteristics of obstetric urogenital fistulas in a regional teaching hospital in Burkina Faso: a retrospective cross-sectional study

Traore¹,

Ouédraogo²,

Kaboré³

et al. 2023

Pan Afr Med J

View full text Add to dashboard Cite

show abstract

“…While the association between younger age at marriage and rst birth and development of obstetric stula has been documented in other sub-Saharan African countries [15][16][17], the median age at symptom development in our cohort was relatively old (24 years). It is possible that our unique sample of patients who participated in a surgical outreach campaign accounts for this difference.…”

Section: Discussioncontrasting

confidence: 45%

Etiology and factors associated with urogenital fistula among women who have undergone Cesarean section in the Democratic Republic of Congo

Maroyi

Moureau

Brown

et al. 2022

Preprint

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Background The prevalence and impact of fistulas is more common in developing countries with limited access to emergency obstetric care. As a result of fistulas, women in these settings often experience adverse psychosocial factors. The purpose of this study was to describe characteristics of Democratic Republic of Congo (DRC) women who developed urogenital fistula following Cesarean sections (CS) and to determine the characteristics associated with fistula related to obstructed labor or CS. Methods We abstracted data from all patients with urogenital fistula following CS who received care during a DRC outreach surgical campaign. Urogenital fistula etiology was designated as related to (1) prolonged obstructed labor; or (2) a complication of CS. Descriptive analyses characterized patients with fistula related to obstructed labor versus CS. Logistic regression identified factors associated with fistula etiology. Results Among 125 patients, urogenital fistula etiology was attributed to obstructed labor in 77 (62%) and complications following CS in 48 (38%). Women with a fistula attributed to obstructed labor developed the fistula at a younger age (p = .04) and had a lower parity (p = .02). Attempted delivery prior to hospital arrival was associated with an increased risk of obstetric fistula (p < .01). Conclusion CS are commonly performed on women who arrive at the hospital following prolonged obstructed labor and fetal demise, and account for almost 40% of urogenital fistula. Obstetric providers should assess maternal status upon arrival to prevent unnecessary CS and identify women at risk of developing a fistula.

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“…While the association between younger age at marriage and first birth and development of obstetric fistula has been documented in other sub-Saharan African countries [ 16 – 18 ], the median age at symptom development in our cohort was relatively old (24 years). It is possible that our unique sample of patients who participated in a surgical outreach campaign accounts for this difference.…”

Section: Discussionmentioning

confidence: 48%

Etiology and factors associated with urogenital fistula among women who have undergone cesarean section: a cross-sectional study

Maroyi

Moureau

Brown

et al. 2023

BMC Pregnancy Childbirth

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Background The prevalence and impact of fistulas are more common in developing countries with limited access to emergency obstetric care. As a result, women in these settings often experience adverse psychosocial factors. The purpose of this study was to describe the characteristics of Congolese women who developed urogenital fistula following Cesarean sections (CS) to determine the characteristics associated with two etiologies: (1) prolonged obstructed labor; and (2) a complication of CS following obstructed labor. Methods We performed a cross-sectional study on abstracted data from all patients with urogenital fistula following CS who received care during a surgical campaign in a remote area of the Democratic Republic of the Congo (DRC). Descriptive analyses characterized patients with fistula related to obstructed labor versus CS. Univariate and multivariate logistic regression models identified factors associated with obstetric fistula after cesarean delivery following obstructed labor. Variables were included in the logistic regression models based upon biological plausibility. Results Among 125 patients, urogenital fistula etiology was attributed to obstructed labor in 77 (62%) and complications following CS in 48 (38%). Women with a fistula, attributed to obstructed labor, developed the fistula at a younger age (p = .04) and had a lower parity (p = .02). Attempted delivery before arriving at the hospital was associated with an increased risk of obstetric fistula after cesarean delivery following obstructed labor (p < .01). Conclusion CS are commonly performed on women who arrive at the hospital following prolonged obstructed labor and fetal demise, and account for almost 40% of urogenital fistula. Obstetric providers should assess maternal status upon arrival to prevent unnecessary CS and identify women at risk of developing a fistula.

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Determinants of obstetric fistula in South-western Ethiopia

Cited by 4 publications

References 11 publications

Characteristics of obstetric urogenital fistulas in a regional teaching hospital in Burkina Faso: a retrospective cross-sectional study

Characteristics of obstetric urogenital fistulas in a regional teaching hospital in Burkina Faso: a retrospective cross-sectional study

Etiology and factors associated with urogenital fistula among women who have undergone Cesarean section in the Democratic Republic of Congo

Etiology and factors associated with urogenital fistula among women who have undergone cesarean section: a cross-sectional study

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