The Obstetric Vesicovaginal Fistula in the Developing World

Wall, L. Lewis; Arrowsmith, Steven D.; Briggs, N. D.; Browning, Andrew; Lassey, A.T.

doi:10.1097/00006254-200507001-00002

Cited by 152 publications

(176 citation statements)

References 91 publications

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“…Furthermore, survived children suffer from long-term complications like cerebral palsy and developmental disabilities (Lawn et al, 2005, Fantu et al, 2010Kabakyenga et al, 2011;Bayou and Berhan, 2012). OL has contributed 8% to the estimated 289,000 maternal death occurred in 2013 globally, 99% of which were in low income countries (Dolea and AbouZahr, 2003;Wall et al, 2005;Gibbons et al, 2010;Khooharo et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Feto-maternal outcomes in obstructed labor in Suhul General Hospital, North Ethiopia

Ukke¹,

Gudayu²,

Gurara³

et al. 2017

Int. J. Nurs. Midwifery

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Ethiopia is one of the countries with the highest maternal mortality rates, obstructed labor and its complications being the leading causes of maternal deaths in the country. This study was aimed at assessing feto-maternal outcomes in obstructed labor in Suhul General Hospital, North Ethiopia. Institution based cross-sectional study was carried out from May 1 to August 31, 2014 in Suhul General Hospital. All mothers who had given birth in the hospital during the study period were included in the study. Data were collected by using a pre tested structured questionnaire and checklists, entered into Epi Info version 7.1.2.0 and finally transported in to SPSS version 20 software package for analysis. A total of 660 mothers had given birth in the hospital during the study period out of which 44(6.7%) were diagnosed as obstructed labor cases. More than 89% of the mothers with obstructed labor and about 93% of the babies born to them had developed at least one complication. Eighteen (40.9%) of the babies were stillbirths or had died immediately after delivery. Postpartum hemorrhaged and puerperal sepsis 25(56.8%) each and uterine rupture 11(25%) were the main maternal complications among the mothers with obstructed labor. Cesarean birth (68%), hysterectomy (20%), destructive delivery (7%) and repair of the ruptured uterus with bilateral tubal ligation in 5% were interventions done for the mothers with obstructed labor. Inaccessibility of vehicle road and time the women stayed at health centers before they were referred to the hospital have shown association with poor maternal outcomes in Fisher's Exact test. Prevalence of obstructed labor in Suhul general hospital is high with high rate of maternal and fetal complications. Improving vehicle road accessibility and giving training for health centers delivery case teams on when to refer laboring mother to the hospitals is needed in order to decease proportion of Obstructed labor and it sequels.

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Section: Introductionmentioning

confidence: 99%

Feto-maternal outcomes in obstructed labor in Suhul General Hospital, North Ethiopia

Ukke¹,

Gudayu²,

Gurara³

et al. 2017

Int. J. Nurs. Midwifery

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“…An estimated 2-3 million women globally and majorly in sub-Saharan Africa and Asia, suffer from fistula with an annual incidence of 50,000-100,000 women (Wall et al,2005& Tuncalp et al,2015.Obstetric Fistula (OF) is a medical condition that involves an opening or perforation between the vagina and the bladder or the vagina and the rectum. Though global in its prevalence it is very rare in the developed world and its cause is mainly from malignant diseases, radiation therapy, or surgical malfunctions during delivery (Goodwin & Scardino, 1980, Langkilde et al,1999.…”

Section: Introductionmentioning

confidence: 99%

Determinants and Heterogeneity of Time -to- Recovery from Obstetric Fistula Patients; Comparison of Acceleration Failure Time and Parametric Shared Frailty Models.

Demissie¹

2017

IJSP

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Obstetric Fistula is a medical condition that involves an opening or perforation between the vagina and the bladder or the vagina and the rectum. It is a serious, life threatening and often debilitating medical condition that affects thousands of women in developing countries.The study consists of 270 obstetric fistula patients having all required information who were taking treatment at Jimma University Specialized Hospital in south west Ethiopia from January, 2011 to January ,2017. The log-rank and generalized wilcoxon test were used to explore the association between the recovery time and different independent categorical covariates. Then using different baseline distribution parametric models were employed to have an appropriate model for the recovery time/status of the patients based on Akaike information criteria (AIC) of the model. Result of Both log-rank and generalized wilcoxon test showed that there were significant differences among obstetric fistula patients in survival experience of weight , marital status, Residence, Incontinence, Antenatal care, mode of delivery, status of urethra and types of fistula of patients at 5% level of significance. Based on AIC log-normal gamma shared frailty model is an appropriate model and there is heterogeneity between patients with zone. The final model showed that marital status, Residence, Incontinence, Antenatal care, status of urethra and types of fistula were the determinants of recovery status of the patients at 5% level of significance. In Conclusion, the result showed that married women, rural residence, incontinence of urine more than 3 months, hadn't antenatal care and completely damaged urethra were prolonged time recovery time of patients whereas having recto-vaginal-fistula shorten recovery status than vesico-vaginal fistula group of patients.

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“…In a conducted in Niger, most women with obstetric fistula give birth at home [8]. This is different from EDHS, 2005 which shows (86%) women with obstetric fistula gave birth at home [17].…”

Section: Discussionmentioning

confidence: 64%

“…In developing countries, women who are affected by obstetric fistula do not necessarily have full agency over their bodies or their households rather their family members or their husbands have control in determining the health care that the women receive [7]. Like many other women in remote areas of poor countries, most women who develop fistula give birth at home without assistance from skilled birth attendants [8]. According to World Health Organization (WHO) report, obstetric fistula affects about 50,000 to 100,000 women of the glob every year.…”

Section: Introductionmentioning

confidence: 99%

Retrospective Study of Obstetric Fistula among Clients Admitted To Fistula Unit Jimma University Specialized Hospital, Oromia Region, South West Ethiopia

Zegeye¹,

Dagne²

2017

J Women's Health Care

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The Obstetric Vesicovaginal Fistula in the Developing World

Cited by 152 publications

References 91 publications

Feto-maternal outcomes in obstructed labor in Suhul General Hospital, North Ethiopia

Feto-maternal outcomes in obstructed labor in Suhul General Hospital, North Ethiopia

Determinants and Heterogeneity of Time -to- Recovery from Obstetric Fistula Patients; Comparison of Acceleration Failure Time and Parametric Shared Frailty Models.

Retrospective Study of Obstetric Fistula among Clients Admitted To Fistula Unit Jimma University Specialized Hospital, Oromia Region, South West Ethiopia

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