Social and economic consequences of obstetric fistula: Life changed forever?

Ahmed, Saifuddin; Holtz, Sara A.

doi:10.1016/j.ijgo.2007.06.011

Cited by 179 publications

(188 citation statements)

References 26 publications

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“…It is important to note that these women when they are eventually repaired will be faced with such challenges as economic and reintegration. Ahmed & Holtz (2007) have noted the economic challenges that fistula survivors may face, and have called for intervention on the economic front as a vital component of reintegration. In Nigeria, Mohammad (2007) described a re-integration programme for fistula survivors in Northern Nigeria that incorporated economic empowerment.…”

Section: Discussionmentioning

confidence: 99%

“…For example scholars have reported about family members not wanting women with VVF to share food at family events (Khisa & Nyamongo, 2012). In addition, there are reports that that vaginal injuries sometimes result in a woman's inability to perform some house chores and marital obligation to her husband (Ahmed & Holtz, 2007). In societies like Nigeria where a woman's worth is dependent on fulfilling her marital (sexual) duties, this situation is devastating.…”

Section: Introductionmentioning

confidence: 99%

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Living with vesico-vaginal fistula: experiences of women awaiting repairs in Ebonyi State, Nigeria

Okoye

Emma-Echiegu

Tanyi

2014

Tanzania J Hlth Res

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Vesico-vaginal fistula (VVF) is one of maternal health problems confronting public health workers in Nigeria today. Information on how women suffering from this condition cope is important in that it can inform the design and delivery of programmes and interventions to address the challenges that face victims of VVF. The objective of this study was to highlight how women living with VVF cope with the health problem in Ebonyi state, Nigeria. In-depth interviews were conducted with ten women awaiting repairs at the National Fistula Centre at Abakaliki in Nigeria. Six of the women have lived with the health problem for more than ten years. Findings show that nearly all the women attributed their health problem to supernatural causes. The women stated that they go through a lot of physical and emotional problems. Some of the ways they have devised of physically coping with the problem include bathing regularly and use of strips of old wrappers as pads. Many of them cope emotionally and financially by attending religious gatherings and having some form of income yielding business. The study recommends the need for repairs to go hand in hand with vocational training so that they will have some income yielding business after repairs.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Living with vesico-vaginal fistula: experiences of women awaiting repairs in Ebonyi State, Nigeria

Okoye

Emma-Echiegu

Tanyi

2014

Tanzania J Hlth Res

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“…The meta-analysis showed a wide range of divorce rates, with 36% of all women either divorced or separated. On average, 85% of women incurred fetal loss from the delivery in which the fistula developed [32].…”

Section: Consequences Of Obstetrics Fistulamentioning

confidence: 99%

Obstetric fistula in low‐income countries

Zheng

Anderson

2008

Intl J Gynecology & Obste

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“…Genitourinary fistulas result in continuous or intermittent urinary incontinence. This is a significant public health issue with negative physical, emotional and social impacts on individuals, which may eventually lead to loss of self-confidence, stress, inadequate libido and social dissociation (2,3). Genitourinary fistula (GUF) is more prevalent in countries with limited access to healthcare.…”

Section: Introductionmentioning

confidence: 99%

Retrospective Analysis of Patients with Genitourinary Fistula

Başaranoğlu¹,

Deregözü

Hatırnaz³

et al. 2017

Gynecol Obstet Reprod Med

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OBJECTIVE: To present the outcomes of patients treated at a tertiary center for a diagnosis of genitourinary fistula secondary to gynecological and obstetric etiologies. STUDY DESIGN:In this retrospective study, analysis was made of 18 patients with a diagnosis of genitourinary fistula in a tertiary center between January 2006 and June 2016. Patient data were taken from the archives and patient histories. A record was made of examinations, diagnostic methods such as cystoscopy and fistulography and appropriate medical treatments, demographic data, intraoperative and post-operative complications, duration of hospital stay, surgical operations and types, diameter and location of fistulas. RESULTS:Of the 18 cases, 14 were secondary to obstetric trauma. In 10 of these 14 cases, fistula had developed after difficult vaginal delivery and in four cases, after caesarean section. Four of the 18 cases were secondary to gynecological surgeries, namely hysterectomy and cystocele repairs. Vesicovaginal fistulas were repaired transvaginally while vesicouterine fistulas and bilateral ureterovaginal fistulas were repaired transabdominally. The mean hospital stay was 3.8±1.5 days (2-7 days). Patients were followed up closely in the first 3 months and recurrence developed in only one case. CONCLUSION:Fistulas secondary to gynecological procedures are uncommon while fistulas secondary to inadequate perineal care, insufficient labor monitoring and difficulties in vaginal delivery techniques are more prevalent in Turkey. Thorough evaluation, using all diagnostic tools for complete diagnosis, understanding the pathophysiology and choosing the best surgical procedure are mandatory to obtain good outcomes after the surgical

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Social and economic consequences of obstetric fistula: Life changed forever?

Abstract: With additional social support and counseling, women may be able to successfully reintegrate socially following fistula repair.

Cited by 179 publications

References 26 publications

Living with vesico-vaginal fistula: experiences of women awaiting repairs in Ebonyi State, Nigeria

Living with vesico-vaginal fistula: experiences of women awaiting repairs in Ebonyi State, Nigeria

Obstetric fistula in low‐income countries

Retrospective Analysis of Patients with Genitourinary Fistula

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