Obstetric vesicovaginal fistula as an international public-health problem

Wall, L. Lewis

doi:10.1016/s0140-6736(06)69476-2

Cited by 444 publications

(511 citation statements)

References 55 publications

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“…We know that bladder dome injuries are particularly forgiving and heal with no consequences if cared for [3]. But, in this instance, the continued bladder catheterization after repair failed to heal the rent and ultimately resulted in a fistula.…”

Section: Discussionmentioning

confidence: 96%

Residual Adherent Placenta with Bladder Injury: Can We Use Methotrexate?

Halder

Jose

2012

J Obstet Gynecol India

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Section: Discussionmentioning

confidence: 96%

Residual Adherent Placenta with Bladder Injury: Can We Use Methotrexate?

Halder

Jose

2012

J Obstet Gynecol India

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“…Obstetric fistula can be avoided and managed if quality emergency obstetric care is available on time for laboring mothers [1,7]. Delaying the age of first pregnancy and stopping harmful traditional practices such as female genital mutilation(FGM) will also reduce the problem [22].…”

Section: Problem Statementmentioning

confidence: 99%

“…These predispose laboring mothers to suffer unrelieved obstructed labor and end up with obstetric fistula [1,[6][7][8] …”

Section: Introduction Backgroundmentioning

confidence: 99%

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Predictors of Time to Recovery from a Surgical Repair of Obstetric Fistula at Mekelle Hamlin Fistula Center, Tigray, Ethiopia

Hailu¹

2018

J Preg Child Health

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Background: Ethiopia is one of the high fistula burdened countries in the world with an annual occurrence of 3,500 new and existence of 37,500 untreated obstetric fistula cases. Studies conducted in this area focus on determinants of obstetric fistula before surgical repair and researches addressing the associated factors are limited.Objective: To estimate time to recovery from a surgical repair of obstetric fistula and its associated factors among patients treated at Mekelle Hamlin Fistula Center. Results: The patients were followed for 6657 person days at risk, the median recovery time was 20 days. The overall recovery rate was 2.5 cases per 100 person days. Multivariable Cox proportional hazard model result showed labor duration of two or more days (AHR=0.73, 95% CI=0.53, 0.99) and post-operative bladder catheterization longer than 14 or more days (AHR=0.45, 95% CI=0.32, 0.62) were factors negatively associated with recovery time from obstetric fistula surgery. Methods Conclusion and recommendations:women who experienced labor of two or more days and post-operative bladder drainage for more than two or more weeks took longer time to recover after the repair. Therefore, Decision makers, Health care professionals, Stakeholders and Researchers should give emphasis on activities that reduce delays' in decision making, delays' in giving urgent intervention and delays' in reaching health institutions that contributes in reducing complications of prolonged labor ultimately obstetric fistula.Harmful traditional practices such as early marriage and home delivery are other potential factors for the development of obstetric fistula [8][9][10]. Globally, nine to 84% of obstetric fistula patients gave birth at home and more than 2 million women are currently living with this problem. Additional 50,000 to 100,000 new cases are estimated to occur each year and majority of which are from Africa and Asia [9][10][11][12][13].Incidence rates of obstetric fistula in countries with high maternal mortality is as high as two to three cases per 1000 women [14]. Estimated incidence and prevalence of untreated obstetric fistula in Ethiopia during the year 2010 was 3,500 and 37,500, respectively [9,15]. Introduction BackgroundObstetric fistula is an injury that occurs during prolonged or obstructed labor causing tissue damage to organs inside the pelvis and resulting in incontinence of urine, feces or both. The dead tissues due to prolonged pressure fall away and a hole will be formed between the vagina and bladder called Vesico-vaginal Fistula (VVF) or between the vagina and rectum called Recto Vaginal Fistula (RVF) [1][2][3].Obstetric fistula is the worst child birth related complication that contributes for 2.5% of the Global daily death of mothers associated with child birth related complications [4].The main causes of obstetric fistula in the developed world are radiation therapy and surgery whereas in developing countries, "the three delays" are responsible, the delay in seeking skilled emergency obstetric care, the del...

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“…42 Estimates indicate that 2-3 millions women live with obstetric fistulae worldwide, the majority of whom are in Africa and Asia. [43][44][45] Fistulas are preventable and treatable, however, many women are still unaware of the availability of treatment and 80% of them never seek treatment due to lack of knowledge. 43 Moreover, women suffering from this condition are initially kept hidden; subsequently, they find it difficult to maintain decent standards of personal hygiene because water for washing is generally scarce; divorce becomes inevitable and destitution follows, these women being forced to beg for their livelihood.…”

Section: Fistulae In the Developing Worldmentioning

confidence: 99%