Socio-economic Factors Associated with Patients with Vesicovaginal Fistula in Machakos County, Kenya

Munene, Fibi; Gicheru, Michael M.; Warutere, Peterson; Wachira, S; Njogu, James Gichiah

doi:10.9734/ajrimps/2017/35748

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“…This study showed that 64.2% of the fistula patients developed the condition within the last 10 years, which is similar to the previous finding in Abakaliki, where 62.3% of the patients developed the condition within the past decade [12]. The value was even much higher in a study done in Machakos County, Kenya where 88% of fistula patients developed the condition within the last six years [14]. Urgent public health measures are needed to halt this occurrence of new cases.…”

Section: Discussionsupporting

confidence: 89%

Associated Morbidities Seen in Women with Obstetric Fistula

Egwu,

Daniyan,

Ejemot-Nwadiaro

et al. 2023

J Obst Gynecol Surg

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Background: Obstetric fistula continues to be a source of misery for women in developing countries. It usually occurs in association with other morbidities. The study was carried out to determine the morbidities that co-exist with obstetric fistula. Methodology: It was a cross-sectional descriptive study carried out among women seeking treatment of obstetric fistula in Cross River State of Nigeria. A combined purposive and proportionate sampling technique was used to select 210 participants. Ethical approval was obtained. A semi-structured interviewer-administered questionnaire was used to obtain information on biodata, obstetric characteristics and morbidties associated with obstetric fistula. Data was analyzed with SPSS version 20. Chi-square was used to compare categorical variables. A P-value of less than 0.05 was considered significant. Results: Among the 210 women, 59 (28.1%) were aged 30 and 39 years. Eighty-one women (38.6%) were grandmultipara and 80 (38.1%) had no living child. Majority (178; 84.8%) of the women delivered stillbirths. At presentation, 175 women (83.3%) had depression, 138 (65.7%) had sexual dysfunction, 97 women (46.2%) had amenorrhoea, 138 (65.7%) had secondary infertility, 128 (61%) had obstetric palsy (foot drop), 171 (81.4%) had urine dermatitis, while 49(23.3%) had features of urinary tract infection. Fifteen women 15 (7.1%) had co-existing rectovaginal fistula. Increased duration of leakage was significantly associated with development of urine dermatitis (P=0.001). Also, increased duration of labour was significantly associated with development of obstetric palsy (P=0.000). Conclusion: Morbidities associated with obstetric fistula are depression, sexual dysfunction, amenorhoea, inferlility, urine dermatitis, obstetric palsy and urinary tract infection. Fistula patients should be assessed for these and be managed by a multidisplinary team.

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Section: Discussionsupporting

confidence: 89%