Risk factors for obstetric vesicovaginal fistula at University Teaching Hospital, Yaoundé, Cameroon

Abstract

status did not put the patient at an increased risk of developing eclampsia. However, some authors have documented an increased risk of developing pregnancy-induced hypertension in employed women because of the stress these patients are under; however, these authors did not evaluate the effect of employment on the risk of convulsion [6]. Prenatal care and bed rest have been recommended as possible preventive measures or a way of delaying the onset of convulsions in pre-eclamptic women who come under this category [5]. Prenatal care awareness is invariably linked to the level of education of pregnant women. In a less educated region like the Far North of Cameroon-where the level of illiteracy is 67% among women aged 15-49 years, as reported in the 2004 Demographic and Health Survey-it is not surprising that 48.7% of the patients in the present study with these high-risk pregnancies had no formal education.In conclusion, teenage pregnancy, nulliparity, and low educational status were identified as risk factors for convulsion in women with pre-eclampsia. Further research is needed to explore the risk factors that are likely to have high predictive values for eclampsia. Identification of these factors, good prenatal surveillance, and institution of proper management will decrease feto-maternal morbidity and mortality associated with hypertensive disorders in pregnancy. Conflict of interestThe authors have no conflicts of interest to declare.

Epidemiological, anatomoclinical, and therapeutic profile of obstetric fistula in the Democratic Republic of the Congo: About 1267 patients

“…The present study shows that the majority (32.4%) of patients were aged 20–29 years at the time of surgical repair. Similar results were reported in Cameroon [11], Burkina Faso [12] and Uganda [13], with 38.4%, 37% and 36.4%, respectively. As in our study, these studies noted that women with fistula stayed longer with this condition before being treated.…”

The Predictors of Intent to Prevent Obstetric Fistula Recurrence Among Women with Fistula in Ethiopia: A Facility-Based Cross-Sectional Study

“…This is coherent with the findings of a study done in Cameroon which has shown that knowledge of risk factors influences intent to prevent obstetric fistula recurrence. 35 A similar study in Benin & West Africa revealed that women with obstetric fistula may not know the actual risk factors of obstetric fistula recurrence and how to prevent it. 36 , 37 A descriptive study conducted in Uganda also implies that most of the women with obstetric fistula have inadequate knowledge of whether the condition is repairable and 58.7% do not know whether it is preventable.…”

A Fictitious Replicated Display about the Effect of Physiotherapy and Health Education Programs on the Surgical Repair of Vesico-Vaginal Fistula

“…A Vesico-Vaginal (V-V) fistula is often the consequence of an injury sustained during a delivery that has been aggravated by protracted or obstructed labor. Tissue ischemia caused by compression of the child's head creates a gap between the woman's vaginal tract and her urinary tract [1]. These V-V fistulae may vary greatly in terms of location, size, and intricacy.…”