Obstetric Fistula in Ilorin, Nigeria

Browning, Andrew

doi:10.1371/journal.pmed.0010002

Cited by 8 publications

(7 citation statements)

References 9 publications

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“…The second type consisted of declarations by the authors, including statements such as “surgeons estimate that…” These declarations are not accompanied by a description of the methods used to obtain the estimate. Examples include the Waaldijk estimates just discussed, as well as “150,000 cases in northern Nigeria” [10]; “200,000 cases in Nigeria” [7,13]; “250,000 cases in northern Nigeria” [17]; “800,000 cases in Nigeria” [5]; “9000 new cases per year in Ethiopia” [23]; “1200 new cases per year in Tanzania” [6]; “from 0.8% to 4.0% of pregnant women in northern Pakistan” and “0.3% of pregnant women in developing countries” [11]; “500,000 untreated globally” [24]; and “1.69 per 1000 ever married women in Bangladesh” [16]. The estimate from Bangladesh is “based on community studies conducted in six unions,” but no detail or reference is given regarding methods for data collection or estimation.…”

Section: Resultsmentioning

confidence: 99%

“…In some cases, the original reference consisted of a personal communication [5–8]. The most commonly quoted estimates are 2 million prevalent cases of obstetric fistula worldwide, with 50,000 to 100,000 incident cases annually [6,8–12,14–20]. The 2‐million prevalence, however, has been reported as a global total as well as the estimate for Africa [11] or for Africa and Asia [13].…”

Section: Resultsmentioning

confidence: 99%

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Challenges in measuring obstetric fistula

Stanton

Holtz

Ahmed

2007

Intl J Gynecology & Obste

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Obstetric fistula is gaining visibility within national and international public health agencies. With increased attention to this dire condition comes the demand for better epidemiologic data. This article assesses the current state of knowledge regarding population-based estimates of the incidence and prevalence of obstetric fistulas; proposes a method for better estimating these rates; and discusses the feasibility of this method. We show that there are no solid population-based estimates of the numbers of obstetric fistulas anywhere (the estimate from the most rigorous study being based on only 2 reported fistula cases); and for advocacy purposes, we recommend using the estimates from the 1990 Global Burden of Disease report. To estimate the incidence and prevalence of obstetric fistula, we propose an adaptation of the sibling-based method for direct estimation of maternal mortality. A series of questions are proposed for this use and sample size calculations are provided. The questions may require refinement, however, and we invite research groups to consider testing them.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Challenges in measuring obstetric fistula

Stanton

Holtz

Ahmed

2007

Intl J Gynecology & Obste

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“…Obstetric fistula is a medical condition in which a fistula (Hole) developed between cither the rectum and vaginal or between the bladder and vagina after severe or failed child birth, when adequate medical care is not available [16]. It is considered as disease of poverty because of its tendency to occur in women in poor countries who do not have health resources comparable to developed nations [17].…”

Section: Literature Reviewmentioning

confidence: 99%

“…Harmful traditional practice is responsible for 6-13% of obstetric fistula including gishiri cutting in Northern Nigeria [17].…”

Section: Literature Reviewmentioning

confidence: 99%

Untitled

2019

Int J Healthc Syst Eng

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Background: Obstetric fistula is an injury that occurs during prolonged and obstructed labor causing tissue damage to organs inside the pelvis and result in urine and Fecal incontinence or both. It remains a major public health problem in areas where unattended obstructed labor is common. Methods: An institutional based cross sectional study design was used from February 1 to March 30-2016 to assess obstetric fistula and its associated factors among women. Convenient sampling technique was used for total sample size. Data was collected using structured interviewed questionnaire by 3 trained data collectors. Descriptive statistics was computed to summarize the data. Result: The total of 62 women was admitted to JUSTH gynecology ward from Feb-Apr 2013. Out of the total respondent 90.32% were developed Vesicovaginal fistula, 22.25% were developed Rectovaginal fistula and 3.2% were developed Recto-vesicovaginal fistula. Majority of the respondents were from the rural area and 50% were in age group 20-24. 66.12% of the respondents had no regular antenatal care follow-up. Among the respondents 87.09% were primiparous. About 56.45% of the cases were caused by obstructed labor and 22.58% were caused prolonged labor. Conclusion: Generally, prevention is better than cure. Preventing and managing fistula will contribute to achieving improving maternal and child health.

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“…It is considered a disease of poverty because of its tendency to occur in women in poor countries who do not have health resources comparable to developed nations [1].…”

Section: Introductionmentioning

confidence: 99%

Comparison of Binary Models for the Associated Factors Affecting Recovery Status of Vesico-vaginal Obstetrics Fistula Patients: A Case of Mettu Hamlin Fistula Center, South West Ethiopian

Temesgen¹

2015

J Biom Biostat

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Background: Obstetric fistula or vaginal fistula is a medical condition in which a fistula (hole) develops between either the rectum or vagina or between the bladder and vagina after severe or failed childbirth, when adequate medical care is not available. It is the most tragic of preventable childbirth complications in the developing world, as affected women are often abandoned by their husbands and family, and forced to live in shame.Objective: The main objective the study was to determine an appropriate binary model for the recovery status of the vesico-vaginal patients. Furthermore, the study explores factors affecting the recovery status of the patients during the time period of the study. Methods:The study consists of 206 vesico-vaginal fistula patients having all required information who were taking treatment at Mettu Hamlin Fistula center from November 2010 to June 2014. The chi-square test of association was employed to explore the association between the recovery status and categorical independent variables. After exploring the association between the variables, different binary models were employed to have an appropriate model for the recovery status of the patients based on Akaki information criteria of the model. Results:The chi-square test of association showed that width of fistula length of fistula and bladder size categories were significantly associated with recovery status of the patients at 5% of level of significance. The study showed among the candidate binary models logistic model was considers an appropriate model. Furthermore, the fitted model showed width, length of fistula and bladder size categories were the factors that have significant effect on the recovery status of the patients at 5% level of significance. Conclusion:Logistic regression model was the better fit of the data whereas the fistula patients with width and length fistula category group between three up to five centimeter were less likely to be recovered comparison with the fistula patients group with width and length of fistula less than or equal to two centimeters. Similarly, the none bladder size category patients where less likely recover in comparison with fair bladder size fair bladder size group patients. Citation: Temesgen A (2016) Comparison of Binary Models for the Associated Factors Affecting Recovery Status of Vesico-vaginal Obstetrics Fistula

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Obstetric Fistula in Ilorin, Nigeria

Cited by 8 publications

References 9 publications

Challenges in measuring obstetric fistula

Challenges in measuring obstetric fistula

Untitled

Comparison of Binary Models for the Associated Factors Affecting Recovery Status of Vesico-vaginal Obstetrics Fistula Patients: A Case of Mettu Hamlin Fistula Center, South West Ethiopian

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