Fertility and pregnancy outcomes among women with obstetric fistula in rural Malawi

Wilson, Andrea; Chipeta, Effie; Kalilani-Phiri, Linda; Taulo, Frank; Tsui, Amy O.

doi:10.1016/j.ijgo.2011.01.006

Cited by 28 publications

(38 citation statements)

References 11 publications

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“…Our scoping review on pregnancy and childbirth post‐repair of an obstetric fistula in sub‐Saharan Africa found that many women still desire to become pregnant after the repair of their OF . However, the incidence of pregnancies was not reported in the reviewed studies, and the overall incidence could not be estimated in this review.…”

Section: Discussionmentioning

confidence: 87%

“…The 16 studies that met our inclusion criteria were published between 1978 and 2016, mostly in the past 10 years. Studies were conducted in only seven sub‐Saharan African countries: five in Nigeria , four in Ethiopia , two in Malawi , one in Niger , one in Mali , one in both Mali and Niger , one in Sierra Leone and one in Eritrea (Table ).…”

Section: Resultsmentioning

confidence: 99%

“…More women with juxta‐cervical, juxta‐urethral or mid‐vaginal fistula became pregnant post‐repair than women with other types of fistula . Inversely, multiparous women, women who reported having a fear of fistula recurrence or those using family planning methods, were less likely to become pregnant . In one study, for instance, there was only one pregnancy among 70 women using family planning (FP) methods (1.4%) while 12 pregnancies were recorded in 118 women who were not using a FP method (10.2%) after 24 months follow‐up .…”

Section: Resultsmentioning

confidence: 99%

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Pregnancy and childbirth after repair of obstetric fistula in sub‐Saharan Africa: Scoping Review

Délamou

Utz

Delvaux

et al. 2016

Tropical Med Int Health

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Abstractobjective To synthesise the evidence on pregnancy and childbirth after repair of obstetric fistula in sub-Saharan Africa and to identify the existing knowledge gaps.methods A scoping review of studies reporting on pregnancy and childbirth in women who underwent repair for obstetric fistula in sub-Saharan Africa was conducted. We searched relevant articles published between 1 January 1970 and 31 March 2016, without methodological or language restrictions, in electronic databases, general Internet sources and grey literature.results A total of 16 studies were included in the narrative synthesis. The findings indicate that many women in sub-Saharan Africa still desire to become pregnant after the repair of their obstetric fistula. The overall proportion of pregnancies after repair estimated in 11 studies was 17.4% (ranging from 2.5% to 40%). Among the 459 deliveries for which the mode of delivery was reported, 208 women (45.3%) delivered by elective caesarean section (CS), 176 women (38.4%) by emergency CS and 75 women (16.3%) by vaginal delivery. Recurrence of fistula was a common maternal complication in included studies while abortions/miscarriage, stillbirths and neonatal deaths were frequent foetal consequences. Vaginal delivery and emergency C-section were associated with increased risk of stillbirth, recurrence of the fistula or even maternal death.conclusion Women who get pregnant after repair of obstetric fistula carry a high risk for pregnancy complications. However, the current evidence does not provide precise estimates of the incidence of pregnancy and pregnancy outcomes post-repair. Therefore, studies clearly assessing these outcomes with the appropriate study designs are needed.

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Section: Discussionmentioning

confidence: 87%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Pregnancy and childbirth after repair of obstetric fistula in sub‐Saharan Africa: Scoping Review

Délamou

Utz

Delvaux

et al. 2016

Tropical Med Int Health

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“…It has also been widely reported that women who experience obstetric fistulas are often abandoned not only by their husbands, but also by their relatives and friends [6, 10, 29]. Consequently, they are left to deal with the huge responsibilities of the family and children alone [6].…”

Section: Discussionmentioning

confidence: 99%

Relying on Visiting Foreign Doctors for Fistula Repair: The Profile of Women Attending Fistula Repair Surgery in Somalia

Gele

Salad

Jimale

et al. 2017

Obstetrics and Gynecology International

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Obstetric fistula is treatable by surgery, although access is usually limited, particularly in the context of conflict. This study examines the profile of women attending fistula repair surgery in three hospitals in Somalia. A cross-sectional study was conducted in Somalia from August to September 2016. Structured questionnaires were administered to 81 women who registered for fistula repair surgery in the Garowe, Daynile, and Kismayo General Hospitals in Somalia. Findings revealed that 70.4% of the study participants reported obstetric labor as the cause of their fistula, and 29.6% reported iatrogenic causes. Regarding the waiting time for the repair surgery, 45% waited for the surgery for over one year, while the rest received the surgery within a year. The study suggests that training for fistula surgery has to be provided for healthcare professionals in Somalia, fistula centers should be established, and access to these facilities has to be guaranteed for all patients who need these services.

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“…Wilson et al [36] noted, 'Although surgical repair can resolve physical problems associated with birth injury, personal problems (e.g., marital relations, sexual health, mental health, infertility, and childbearing complications) seem to persist postrepair' [p. 198]. Wilson et al [36] noted, 'Although surgical repair can resolve physical problems associated with birth injury, personal problems (e.g., marital relations, sexual health, mental health, infertility, and childbearing complications) seem to persist postrepair' [p. 198].…”

Section: A Broad View Of Success: the Whole Womanmentioning

confidence: 99%

Outcomes in obstetric fistula care

Arrowsmith

Barone

Ruminjo

2013

Current Opinion in Obstetrics &Amp; Gynecology

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Consensus about basic definitions of clinical success does not yet exist. Opinions vary widely about the prognostic parameters for success or failure. Commonly agreed upon definitions and outcome measures will help ensure that site reviews are accurate and conducted fairly. To properly compare technical innovations with existing methods, agreement must be reached on definitions of success. Standardized indicators for mortality and morbidity associated with fistula repair will improve the evidence base and contribute to quality of care.

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Fertility and pregnancy outcomes among women with obstetric fistula in rural Malawi

Cited by 28 publications

References 11 publications

Pregnancy and childbirth after repair of obstetric fistula in sub‐Saharan Africa: Scoping Review

Pregnancy and childbirth after repair of obstetric fistula in sub‐Saharan Africa: Scoping Review

Relying on Visiting Foreign Doctors for Fistula Repair: The Profile of Women Attending Fistula Repair Surgery in Somalia

Outcomes in obstetric fistula care

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