The effect of early pregnancy on the formation of obstetric fistula

Browning, Andrew; Mbise, F.; Foden, Phil

doi:10.1002/ijgo.12228

Cited by 4 publications

(2 citation statements)

References 13 publications

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“…Also, a recent study found that the frequency of OF during the first pregnancy is not increased among women who experience their first pregnancy within 2 years of menarche compared to a first pregnancy later in life [25]. This could suggest that maturation of the pelvis is the important factor and that maturation is related to age more than menarche.…”

Section: Race and Tribementioning

confidence: 97%

Obstetric fistulas in Uganda: scoping review using a determinant of health approach to provide a framework for health policy improvement

Hollander

Janszen

2020

BMC Pregnancy Childbirth

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Background The uneven global and national distribution of obstetric fistulas suggests a complex network of determinants contributing to fistula development. This study aims to create an understanding of the determinants of obstetric fistula in Uganda and to give a framework for health policy improvement. Methods A scoping review of existing literature was performed, searching the PubMed/MEDLINE database, Ugandan Demographic and Health Surveys, and official sources of Ugandan statistics. Data was analysed using the model for the determinants of health by Dahlgren and Whitehead. Results Obstetric fistulas are associated with different personal lifestyle factors, certain social and community networks, as well as poor working and living conditions. Malnutrition, early childbearing, limited female empowerment, lack of awareness of childbearing risks, low socioeconomic status, and long distances to emergency obstetric care play a part. Certain regions of Uganda are in particular associated with obstetric fistula, where an accumulation of determinants is notable. Conclusion Analysis using the model of Dahlgren and Whitehead shows that obstetric fistulas are associated with determinants at different levels of society. Poverty and low education link these in a web that is disproportionately hard to escape from for the poorest women. This inequity asks for co-operation between ministries to dismantle the environment for obstetric fistula.

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Section: Race and Tribementioning

confidence: 97%

Obstetric fistulas in Uganda: scoping review using a determinant of health approach to provide a framework for health policy improvement

Hollander

Janszen

2020

BMC Pregnancy Childbirth

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“…However, a study from Tanzania found that there was no association with an early pregnancy and fistula and although not statistically significant, there was less obstructed labour and fistula formation in those women getting pregnant very young. [12] It is often argued that there are over 500,000 teenage pregnancies in the USA each year and no obstetric fistula due to obstructed labour because all women have access to a Caesarean Section if needed. Fistulae occur in areas of poor access to Caesarean Sections.…”

Section: Main Articlementioning

confidence: 99%

Obstetric fistulae: a review

Browning¹

2022

SSMJ

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Obstetric fistula is one of the most feared complications of labour, leaving a woman with a life of ostracism and shame due to her complete incontinence. Many women see this as a curse for something they did and many end up trying to take their life. Obstetric fistula patients present with a complicated array of physical and psychological needs which should all be addressed by the medical team caring for her. In the majority of cases, obstetric fistula is curable as long as the doctor is trained in and skilled in the right surgical techniques. However, the most important message is that obstetric fistula is preventable. Ensuring that all women receive proper, affordable and timely medical care in labour will ensure that women will not need to fear such dreadful sequalae of trying to have a baby.

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Co-occurrence of Obstetric Fistula and Stillbirth in Sub-Saharan Africa

Cowgill

2022

Global Maternal and Child Health

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The effect of early pregnancy on the formation of obstetric fistula

Abstract: Frequency of obstetric fistula during the first pregnancy is not increased among women who experience their first pregnancy within 2 years of menarche.

Cited by 4 publications

References 13 publications

Obstetric fistulas in Uganda: scoping review using a determinant of health approach to provide a framework for health policy improvement

Obstetric fistulas in Uganda: scoping review using a determinant of health approach to provide a framework for health policy improvement

Obstetric fistulae: a review

Co-occurrence of Obstetric Fistula and Stillbirth in Sub-Saharan Africa

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