Consequences of obstetric fistula in sub Sahara African countries, from patients’ perspective: a systematic review of qualitative studies

Bashah, Debrework Tesgera; Worku, Alemayehu; Yitayal, Mezgebu

doi:10.1186/s12905-018-0605-1

Cited by 66 publications

(86 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In another study, escaping sex is called fear of the future lacking a partner, not getting married, and not getting pregnant were among concerns of the patients [11]. Lack of close contact with the husband has been cited as a serious and painful problem [27], and efforts to maintain family and marital relationships have been regarded as an important issue in a systematic review and qualitative meta-synthesis [28]. Women are concerned about the fact that their husband sees them defecating during sexual intercourse [15], which even leads to the fear of divorce and remarriage by the husband [29].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Women’s experiences of rectovaginal fistula: an ethno- religious experience

2020

View full text Add to dashboard Cite

Background Obstetric fistulas are one of the most tragic injuries that occur after difficult, prolonged childbirth without timely intervention. These fistulas cause discomfort to patients and result in emotional, social, and even physical suffering. The present study aimed to explore the experiences of women with rectovaginal fistula in Kamyaran city, in Kurdestan province, west of Iran. Methods In a phenomenological study, 16 patients, healthcare personnel, and patients’ families were investigated. Purposive sampling was performed and Study participants were interviewed in-depth semi-structured interviews. All interviews were audio-recorded, transcribed verbatim (word by word), and analyzed by Colaizzi’s method. For determining the validity of the study, Lincoln and Guba’s criteria, which include credibility, dependability, transferability, and confirmability, were considered. Results Five general themes and 10 sub-themes emerged after investigating interviews. Themes include religious harassment the sub-theme of being defiled), fail (sub-themes of loss and negative attitudes, disrupted sex (the sub-theme of sexual dissatisfaction), consequence (three sub-themes of sleep disturbance, mental crisis, and isolation), and ultimately panic (three sub-themes of humiliation, secrecy, and fear). Conclusion The rectovaginal fistula is a complex and multifaceted problem with social, individual, familial, religious, and ethnic-environmental dimensions, so there is no simple solution to interact with this problem and there is a need to find a solution, considering the dimensions of the problem and plan for help these patients cope with their disease, and take steps to fully treat it.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Patients were in constant fear, and none of the patients in the present study disclosed their disease to non-family members and found it necessary to keep it a secret, which has been confirmed by various studies. This has led to psychological consequences in these patients [11,15,27,28,30,31].…”

Section: Discussionmentioning

confidence: 99%

Women’s experiences of rectovaginal fistula: an ethno- religious experience

2020

View full text Add to dashboard Cite

show abstract

“…Lack of close contact with the husband has been cited as a serious and painful problem [27], and efforts to maintain family and marital relationships have been regarded as an important issue in a systematic review and qualitative meta-synthesis [28]. Women are concerned about the fact that their husband sees them defecating during sexual intercourse [15], which even leads to the fear of divorce and remarriage by the husband [29].…”

Section: Discussionmentioning

confidence: 99%

Women's Experiences of Rectovaginal Fistula: An Ethno- Religious Experience

Nezhad

Jalali

Karimi

2020

Preprint

View full text Add to dashboard Cite

Background: Obstetric fistulas are one of the most tragic injuries that occur after difficult, prolonged childbirth without timely intervention. These fistulas cause discomfort to patients and result in emotional, social, and even physical suffering. The aim of the present study was to explore the experiences of women with rectovaginal fistula in Kamyaran city, in Kurdestan province, west of Iran. Methods: In a phenomenological study, 16 patients, healthcare personnel and patients' families were investigated. Purposive sampling was performed and Study participants were interviewed in-depth semi-structured interviews. All interviews were audio-recorded, transcribed verbatim (word by word) and analyzed by Colaizzi's method. In order to determine the validity of the study, Lincoln and Guba’s criteria, which include credibility, dependability, transferability, and confirmability, were considered. Results: Five general themes and ten sub-themes emerged after investigating interviews. Themes include religious harassment the sub-theme of being defiled), fail (subthemes of loss and negative attitudes, disrupted sex (the subtheme of sexual dissatisfaction), consequence (three subthemes of sleep disturbance, mental crisis, and isolation), and ultimately panic (three subthemes of humiliation, secrecy, and fear). Conclusion: The rectovaginal fistula is a complex and multifaceted problem with social, individual, familial, religious, and ethnic-environmental dimensions, so there is no simple solution to interact with this problem and there is a need to find a solution, considering the dimensions of the problem and plan for help these patients cope with their disease, and take steps to fully treat it.

show abstract

“…Vaginal fistula is a debilitating condition that has pervasive consequences on women's psychological, social, physical and economic wellbeing. Without surgical intervention women with fistula face lifetime embarrassment, isolation, social stigmatization and marital separation [3][4][5]. Furthermore, they are prone to develop chronic vaginal and urinary tract infections, renal failure, pelvic inflammatory disease and amenorrhea [1,6].…”

Section: Introductionmentioning

confidence: 99%

Treatment-seeking for vaginal fistula in sub-Saharan Africa

Gebreselassie

Asefa

2019

Preprint

View full text Add to dashboard Cite

Background: There is dearth of data regarding the treatment-seeking practice of women living with vaginal fistula. The paper describes the health-seeking behaviour of fistula cases in the sub-Saharan Africa (SSA) where the burden of the problem is high. Methods:We analysed the data of 1,317 women who ever experienced vaginal fistula, extracted from 16 national Demographic and Health Surveys carried out in SSA between 2010 and 2017. The association between treatment-seeking and basic socio-demographic characteristics assessed via mixed-effects logistic regression and the outputs are provided using adjusted odds ratio (AOR) with 95% confidence intervals (CI).Results: Two-thirds (67.6%) of the women encountered the fistula soon after delivery implying obstetric fistula. Fewer identified sexual assault (3.8%) and pelvic surgery (2.7%) as the cause. In 25.8% of the cases clear-cut causes couldn't be ascertained and excluding these ambiguous causes, 91.2% of the women had obstetric fistula. Among those who ever had fistula, 60.3% (95% CI: 56.9-63.6%) sought treatment and 28.5% (95% CI: 25.3-31.6%) underwent fistula-repair surgery. The leading reasons for not seeking treatment were:unaware that it can be repaired (21.4%), don't know where to get the treatment (17.4%), economic constraints (11.9%), healed by itself (11.9%) and embarrassment (7.9%). The regression analysis indicated, teenagers as compared to adults 35 years or older [AOR=0.31 (95 % CI: 0.20-47)]; and women devoid of formal education when compared to women with any formal education [AOR=0.69 (95% CI: 0.51-0.93)], had reduced odds of treatmentseeking. In 25.9% of the women who underweight fistula-repair surgery, complete continence after surgery was not achieved.Conclusion: Treatment-seeking for fistula remains low and it should be augmented via mix of strategies for abridging health-system, psycho-social, economic and awareness barriers.

show abstract

Consequences of obstetric fistula in sub Sahara African countries, from patients’ perspective: a systematic review of qualitative studies

Cited by 66 publications

References 23 publications

Women’s experiences of rectovaginal fistula: an ethno- religious experience

Women’s experiences of rectovaginal fistula: an ethno- religious experience

Women's Experiences of Rectovaginal Fistula: An Ethno- Religious Experience

Treatment-seeking for vaginal fistula in sub-Saharan Africa

Contact Info

Product

Resources

About