Subsequent Childbirth among Obstetric Fistula Survivors with Unrepaired Fistulas in South Eastern Nigeria

Sunday-Adeoye, Ileogben

doi:10.4172/2167-0420.1000174

Cited by 2 publications

(1 citation statement)

References 12 publications

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“…This age group has the largest category of women seeking repair of obstetric fistula. The finding is similar to that of a study done in Abakaliki, South-East Nigeria where the highest prevalence (27.7%) was in this age group [11]. In a study done in Jos, North-Central Nigeria however, the highest prevalence (44%) was among women in the age group 21-30 years.8 Majority (64.3%) of the women had no formal education.…”

Section: Discussionsupporting

confidence: 83%

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: 83%

Associated Morbidities Seen in Women with Obstetric Fistula

Egwu,

Daniyan,

Ejemot-Nwadiaro

et al. 2023

J Obst Gynecol Surg

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Long-Term Effects of Obstetric Fistula on the Overall Quality of Life among Survivors Who Had Undergone Obstetric Fistula Repair, Central Gondar Zone, Northwest Ethiopia, 2020: A Community-Based Study

Aynalem

Kassie

Baye

et al. 2022

Rehabilitation Research and Practice

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Introduction. Childbirth is a special time in the lives of women and families at large. It can also be a time of great tragedy. International reports show that, annually, more than 500,000 women die from pregnancy and childbirth complications globally. For every woman who dies in childbirth, majorities remain alive, but scarred by permanent disabilities. Obstetric fistula is, without a doubt, the most severe of pregnancy-related disabilities. Objective. This research is aimed at assessing the long-term effects of obstetric fistula on the overall quality of life among fistula survivors in central Gondar zone. Methods. A community-based cross-sectional study was conducted among women who had undergone obstetric fistula repair, 1-4 years after the surgery, in the central Gondar zone. The participants were reached through appointments that were made by the researchers using census approach after having the participants’ contact lists (specific residence and cell phone numbers), and research interviews have taken place at the respondents’ home or residence using an adapted and validated tool. Data entry and analysis were done using Epi Info version 7 and SPSS version 20, respectively. Results. A total of 182 fistula survivors were interviewed giving a 94.8% response rate. This study indicated that 84.1% (95% CI: 78.8, 89.4) of respondents had a poor overall quality of life. Maternal age (>30 years) ( AOR = 3.8 , 95% CI: 2.6, 12.3), marital status (divorced survivors) ( AOR = 2.7 , 95% CI: 1.3, 8.5), and urinary incontinence ( AOR = 1.9 , 95% CI: 2.4, 11.2) were positive predictors for poor overall quality of life. The majority of fistula survivors, 82.4%, were stigmatized which could make reintegration into the community challenging for them. Healthcare providers have to implement counseling to women for social reintegration and the possibility of gainful societal activities after repairing.

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Subsequent Childbirth among Obstetric Fistula Survivors with Unrepaired Fistulas in South Eastern Nigeria

Cited by 2 publications

References 12 publications

Associated Morbidities Seen in Women with Obstetric Fistula

Associated Morbidities Seen in Women with Obstetric Fistula

Long-Term Effects of Obstetric Fistula on the Overall Quality of Life among Survivors Who Had Undergone Obstetric Fistula Repair, Central Gondar Zone, Northwest Ethiopia, 2020: A Community-Based Study

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