Obstetric urogenital fistula: The Ilorin experience, Nigeria

Ijaiya, MA; Aboyeji, PA

doi:10.4314/wajm.v23i1.28071

Cited by 56 publications

(52 citation statements)

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“…Regions covered include other countries in West and North Africa, as well as 1 country in Eastern Europe. One article from Burkina Faso [41] gave an incidence of 23.1/100 000 deliveries, lower than incidence estimates of around 1/1000 deliveries reported in Ghana [14] and Nigeria [13].…”

Section: Discussionmentioning

confidence: 94%

“…Six of the descriptive studies were conducted in Nigeria [8][9][10][11][12][13] and, as summarized in Table 1, presented demographic characteristics and labor experiences similar to those of patients in Ethiopia, although Nigerian women tended to be older and developed fistula at higher parity (4 or 5). In addition, 1 study found that the women experienced delays in seeking care during obstructed labor mainly due to a lack of permission to seek care and little accessible transportation.…”

Section: Hospital-based Reviewsmentioning

confidence: 97%

“…Also among other diseases and causes, the traditional Hausa surgery known as "gishiri cutting" (a series of random cuts made inside the vagina with a sharp instrument to enlarge the birth passage) was mentioned as a cause of fistula [12]. One study reported a hospitalbased incidence estimate of 1.1 per 1000 births [13].…”

Section: Hospital-based Reviewsmentioning

confidence: 99%

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Obstetric fistula in low‐income countries

Zheng

Anderson

2008

Intl J Gynecology & Obste

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Section: Discussionmentioning

confidence: 94%

Section: Hospital-based Reviewsmentioning

confidence: 97%

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Obstetric fistula in low‐income countries

Zheng

Anderson

2008

Intl J Gynecology & Obste

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“…Additionally, until recently, most population-level surveys were not designed to address obstetric fistula. Data from African countries estimate the incidence of obstetric fistula to be between 1-3 per 1000 deliveries for West Africa and 5-10 per 1000 deliveries in some rural areas of Africa [7][8][9]. Like most countries, few studies have been conducted in Malawi to estimate the burden of obstetric fistula.…”

Section: Introductionmentioning

confidence: 97%

Prevalence of obstetric fistula in Malawi

Kalilani-Phiri¹,

Umar²,

Lazaro³

et al. 2010

International Journal of Gynecology & Obstetrics

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“…[7] The very poor, young, illiterate, rural girls and women have been associated with obstetric fistulas in the developing countries. [8] Extensive publications [9][10][11][12] already exist on the epidemiological characteristics and surgical management of the condition but there is very little on the patient understanding of the condition. Such information is essential for effective preventive measures and strategies especially for cases of reoccurrence.…”

Section: Introductionmentioning

confidence: 99%

Vesicovaginal fistula: Do the patients know the cause?

Hassan

Ekele

2009

Ann Afr Med

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Background: So much has been written on vesicovaginal fi stula (VVF) but there is little on the patients' perspective of the condition. The objectives of this study were to determine the knowledge of patients who have developed VVF on the causes of the fi stula and their attitude toward measures that would prevent future occurrence. Methods: The questionnaire-based survey was conducted on VVF patients on admission from June to August 2003 at Maryam Abacha Women and Children Welfare Hospital, Sokoto, Nigeria. The case notes of the patients were reviewed after the interview to match the responses from the patients with those documented in the folders. Focus group discussions were held with the maternity staff to ascertain the content and quality of existing counseling. Results: One hundred and thirty patients were studied out of which 121 (93%) had no formal education. Teenagers constituted 37%, while 57% were primiparae. Thirty-fi ve (27%) patients were divorced or separated because of the VVF. There were seven cases of recurrence after a previous successful repair. Prolonged obstructed labor was the cause of the VVF in 110 (85%) patients and 77 (70%) correctly attributed their problem to the prolonged labor. The 33 patients who could not identify the prolonged obstructed labor as the cause either attributed their condition to God/destiny or to the operation that was done to relief the obstruction and therefore would not have hospital delivery in their subsequent pregnancies. From the focus group discussions, it was confi rmed that pre and post-operative counseling were inadequate. Conclusion: Even though majority (70%) of the patients knew the cause of their fi stula from the health talks, some (32%) would still not change from risky obstetric behavior. Mandatory provision of accurate and appropriate information and education to all VVF patients and their relatives or spouses by trained counselors should be ensured. Such information and education should emphasize the etiology and management of obstetric fi stula in order to prevent a recurrence.

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Obstetric urogenital fistula: The Ilorin experience, Nigeria

Cited by 56 publications

References 0 publications

Obstetric fistula in low‐income countries

Obstetric fistula in low‐income countries

Prevalence of obstetric fistula in Malawi

Vesicovaginal fistula: Do the patients know the cause?

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