Birth and sorrow: The medico-social consequences of obstetric fistula in Ilesha, Nigeria

Fehintola, Akintunde O.; Fehintola, Funmito Omolola; Adetoye, AO; Ayegbusi, EO; Alaba, OA; Ajiboye, AD; Badejoko, OO; Adeyemi, B. A.

doi:10.4103/tjog.tjog_32_19

Cited by 4 publications

(20 citation statements)

References 1 publication

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“…The CASP checklist identified only one study [ 3 ], to be of high-quality (9 scores), three studies [ 9 , 26 , 27 ] to be of moderate quality (4–6 scores) while 4 studies [ 7 , 28 – 30 ] were of low quality (2–3 scores) due to shortcomings in their methodologies and data analysis. Although all studies obtained ethical approval from the ethics committee, only two studies [ 3 , 27 ] provided sufficient details of how the research was explained to the participants to assess if ethical standards were maintained. Further, none of the studies explained if the relationship between the researcher and the participants were sufficiently considered [ 31 ] which compromised the quality of the studies.…”

Section: Resultsmentioning

confidence: 99%

“…In addition, all studies recorded the employment status of the women except for two studies [ 28 , 29 ]. While some of the women were unemployed [ 3 , 9 , 26 , 30 ], some women were farmers and artisans [ 3 , 7 , 26 , 27 ], some were traders [ 30 ] while some were students [ 3 , 26 ]. The background, methodological details and key findings of the included studies are shown in Table 1 .…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Five studies reported loss of marriage due to obstetric fistula among women [ 3 , 7 , 9 , 26 , 27 ]. According to three studies [ 3 , 26 , 27 ], women were separated or divorced from their husbands. Two studies attributed the loss of marriage to the feeling of shame on the part of the husband [ 7 , 9 ].…”

Section: Resultsmentioning

confidence: 99%

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The psycho-social impact of obstetric fistula and available support for women residing in Nigeria: a systematic review

et al. 2023

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Background Obstetric fistula continues to affect the social and mental wellbeing of women living in Nigeria giving rise to poor maternal health outcome. While the World Health Organisation (WHO) has recommended the introduction of psycho-social interventions in the management of obstetric fistula women, psycho-social support for women living with obstetric fistula in Nigeria, are limited. This systematic review aimed to synthesise the psycho-social impact of obstetric fistula on women living in Nigeria as well as the available psycho-social support for these affected women. Methods Following a keyword strategy, Medline, CINAHL, Google scholar, ScienceDirect, Cochrane library, PsychINFO, AMED, British Nursing database, Pubmed central, TRIP database, UK Pubmed central, socINDEX, Annual reviews, ISI Web of Science, Academic search complete, Credo reference, Sage premier and Scopus databases were searched alongside hand searching of articles. The inclusion criteria were set as articles published between 2000 and 2020, on the psychosocial consequences of obstetric fistula in Nigeria. The Critical Appraisal Skills Program (CASP) tool was used to appraise the quality of the included studies. The data was extracted and then analysed using narrative synthesis. Results 620 relevant citations were identified, and 8 studies were included. Women with obstetric fistula, living in Nigeria were found to be ostracised, abandoned by families and friends, stigmatised and discriminated against, which led to depression, loneliness, loss of self-esteem, self-worth and identity. Psycho-social interventions for women who experienced obstetric fistula are not widely available. Conclusion There is a need for the introduction of more rehabilitation and reintegration programs across the country. The psychosocial effect of obstetric fistula is significant and should be considered when developing interventions. Further, more research is needed to evaluate the sustainability of psychosocial interventions in Nigeria.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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The psycho-social impact of obstetric fistula and available support for women residing in Nigeria: a systematic review

et al. 2023

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“…Women with obstetric fistula invariably experience urinary or faecal incontinence or both; they may additionally suffer from sexual dysfunction, and urinary dermatitis [5,6]. Subsequently, they may face discrimination in their community and a lack of social support, leading to divorce, ostracism and loss of income or employment [5,[7][8][9]. Consequently, women can experience mental health difficulties, such as anxiety and suicidal ideation [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Interventions for treating obstetric fistula: An evidence gap map

Johnson

O’Connor²,

Hilton³

et al. 2023

PLOS Glob Public Health

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Obstetric fistula is prevalent in low- and middle-income countries, with between 50,000 and 100,000 new cases each year. The World Health Organization aims to eradicate it by 2030 but a clear idea of the extant evidence is unavailable. This evidence map compiled evidence on treatments for obstetric fistula to identify potential knowledge gaps. The protocol for this work was published on the Open Science Framework (DOI: 10.17605/OSF.IO/H7J35). A survey was developed, piloted and distributed online through organisations with an interest in obstetric fistula and snowballing. Results informed the evidence map framework. Searches were run on MEDLINE, Embase, CENTRAL, Global Index Medicus and ScanMedicine on 16 February 2022 to identify potentially eligible systematic reviews, randomised controlled trials, cohort studies and case-control studies. Forward and backward citation chaining was undertaken on relevant systematic reviews and included studies. Studies were screened, coded and assessed for risk of bias by a single reviewer, with a second checking a proportion. The evidence map results were compared to survey results. Thirty-nine people responded to the survey, half of which were clinicians. Of 9796 records identified, 37 reports of 28 studies were included in the evidence map. Many included studies were at some risk of bias; for observational studies, this was predominantly due to lack of controlling for confounders. Most studies (71%) assessed surgical interventions alone. Reporting on other intervention types was limited. Regarding outcome measures most important to survey respondents, 24 studies reported on cure/improvement in obstetric fistula and 20 on cure/improvement in urinary incontinence. Reporting on quality of life, faecal incontinence and sexual function was limited. There is currently little robust evidence to guide patients and practitioners on the most effective treatment option for obstetric fistula. Further research is required to address evidence gaps identified.

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Supporting Women after Obstetric Fistula Surgery to Enhance Their Social Participation and Inclusion

Debele,

Aldersey,

Macdonald

et al. 2024

IJERPH

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Obstetric fistula is a childbirth complication causing abnormal openings between the urinary, bowel, and genital tracts, leading to involuntary leakage and potential long-term disability. Even after surgical repair, women continue to face psychological and social challenges that affect their social inclusion and participation. This study explored family and service provider perspectives on current support systems and identified gaps affecting women’s inclusion and participation post-fistula surgery. Building on a prior study of women who underwent obstetric fistula surgical repair, we qualitatively examined available formal and informal post-surgical supports in Ethiopia. We conducted 20 interviews with family members and service providers and analyzed them using Charmaz’s grounded theory inductive analysis approach. We identified four themes that indicated the available formal support in fistula care, the impact of formal support on women’s social participation and inclusion, the gaps in formal support systems, and post-surgery informal supports and their challenges. Both groups believed support needs for women after surgery remain unmet, highlighting the need to strengthen holistic support services to improve women’s social inclusion and participation. This study contributes to limited research on formal and informal support for women, emphasizing the need for enhanced economic, psychological, and sexual health-related support post-obstetric fistula surgery.

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Birth and sorrow: The medico-social consequences of obstetric fistula in Ilesha, Nigeria

Cited by 4 publications

References 1 publication

The psycho-social impact of obstetric fistula and available support for women residing in Nigeria: a systematic review

The psycho-social impact of obstetric fistula and available support for women residing in Nigeria: a systematic review

Interventions for treating obstetric fistula: An evidence gap map

Supporting Women after Obstetric Fistula Surgery to Enhance Their Social Participation and Inclusion

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