Sexuality and fertility of women operated for obstetric urogenital fistulae

Tembely, Aly; Diarra, Alkadri; Berthé, Hjg

doi:10.1016/j.purol.2014.08.202

Cited by 5 publications

(1 citation statement)

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“…The 16 studies that met our inclusion criteria were published between 1978 and 2016, mostly in the past 10 years. Studies were conducted in only seven sub‐Saharan African countries: five in Nigeria , four in Ethiopia , two in Malawi , one in Niger , one in Mali , one in both Mali and Niger , one in Sierra Leone and one in Eritrea (Table ).…”

Section: Resultsmentioning

confidence: 99%

Pregnancy and childbirth after repair of obstetric fistula in sub‐Saharan Africa: Scoping Review

Délamou

Utz

Delvaux

et al. 2016

Tropical Med Int Health

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Abstractobjective To synthesise the evidence on pregnancy and childbirth after repair of obstetric fistula in sub-Saharan Africa and to identify the existing knowledge gaps.methods A scoping review of studies reporting on pregnancy and childbirth in women who underwent repair for obstetric fistula in sub-Saharan Africa was conducted. We searched relevant articles published between 1 January 1970 and 31 March 2016, without methodological or language restrictions, in electronic databases, general Internet sources and grey literature.results A total of 16 studies were included in the narrative synthesis. The findings indicate that many women in sub-Saharan Africa still desire to become pregnant after the repair of their obstetric fistula. The overall proportion of pregnancies after repair estimated in 11 studies was 17.4% (ranging from 2.5% to 40%). Among the 459 deliveries for which the mode of delivery was reported, 208 women (45.3%) delivered by elective caesarean section (CS), 176 women (38.4%) by emergency CS and 75 women (16.3%) by vaginal delivery. Recurrence of fistula was a common maternal complication in included studies while abortions/miscarriage, stillbirths and neonatal deaths were frequent foetal consequences. Vaginal delivery and emergency C-section were associated with increased risk of stillbirth, recurrence of the fistula or even maternal death.conclusion Women who get pregnant after repair of obstetric fistula carry a high risk for pregnancy complications. However, the current evidence does not provide precise estimates of the incidence of pregnancy and pregnancy outcomes post-repair. Therefore, studies clearly assessing these outcomes with the appropriate study designs are needed.

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