The Experience of Women with Obstetric Fistula following Corrective Surgery: A Qualitative Study in Benadir and Mudug Regions, Somalia

Mohamed, Adam; Ilesanmi, A. O.; Dairo, Magbagbeola David

doi:10.1155/2018/5250843

Cited by 24 publications

(27 citation statements)

References 14 publications

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“…In this study, VVF will be used as being synonymous with obstetric fistula. VVF may cause sufferers to experience chronic urinary/faecal incontinence, the stigma of continuing foul odour, social exclusion, and decreased quality of life [3][4][5]. VVF is primarily caused by prolonged obstructed labour, for which there are several known contributing factors such as giving birth at home in the absence of a midwife or skilled birth attendant can increase the likelihood of VVF [6].…”

Section: Introductionmentioning

confidence: 99%

Sub-Saharan African women’s views and experiences of risk factors for obstetric fistula: a qualitative systematic review

Bulndi

Ireson

Adama

et al. 2022

BMC Pregnancy Childbirth

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Background Obstetric fistula used as synonymous with VVF in this study, is an abnormal communication/hole between the urinary tract and the genital tract or the gastrointestinal tract and the genital tract, resulting from prolonged obstructed labour. VVF may cause sufferers to experience chronic urinary/faecal incontinence, and the stigma of continuing foul odour. VVF is primarily caused by prolonged obstructed labour, which is brought about by a range of causes. Recently, it has been proposed that women’s groups and fistula survivors should suggest interventions to reduce or prevent the incidence of obstetric fistula. Objective The objective of this review was to synthesise what is reported about women’s views and experiences of the risk factors underlying the causes of VVF. Methods A systematic approach outlined in the Joanna Briggs Institute Manual for Evidence synthesis was followed for this review, articles published since the last 11 years from 2011 to 2021 were selected against several criteria and critically appraised using JBI Critical Appraisal Checklist for qualitative studies. Results Nine studies were retained for inclusion in this review and the data were then synthesised into five themes: (1) Cultural beliefs and practices impeding safe childbirth, (2) Lack of woman’s autonomy in choices of place to birth safely, (3) Lack of accessibility and social support to safe childbirth, (4) Inexperienced birth attendants and, (5) Delayed emergency maternal care (childbirth). Conclusions This review highlights the complexity of risk factors predisposing women to the known causes of VVF. It also illuminates the absence of women’s voices in the identification of solutions to these risks. Women are most directly affected by VVF. Therefore, their knowledge, views, and experiences should be considered in the development and implementation of strategies to address the issue. Exploring women’s views on this issue would enable the identification of gaps in maternity care provision, which would be of interest to community and health service leaders as well as policymakers in Sub-Saharan Africa.

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Section: Introductionmentioning

confidence: 99%

Sub-Saharan African women’s views and experiences of risk factors for obstetric fistula: a qualitative systematic review

Bulndi

Ireson

Adama

et al. 2022

BMC Pregnancy Childbirth

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“…A dominant narrative is that stigmatised, incontinent women are abandoned by their husbands. Often, support for this narrative comes from interviews with women themselves7 16 and from international organisations conveying the gravity of fistula following childbirth 17. In contrast, a 2007 meta-analysis found that 36% (95% CI 27% to 46%) of women with fistula were divorced or separated, with substantial heterogeneity across geographies and authors 8.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with marital status of women with genital fistula after childbirth: a retrospective review in nine African countries

et al. 2022

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ObjectiveTo examine characteristics associated with remaining married with fistula.DesignRetrospective record review and logistic regression.SettingTanzania, Uganda, Kenya, Malawi, Zambia, Rwanda, Ethiopia, Somalia and South Sudan.ParticipantsWomen who developed fistula during childbirth (1975–2017) and sought treatment (1994–2017).Outcome measureSelf-reported status of living with original husband at time of presentation for fistula repair.ResultsOver half of the women lived with their husbands at the time of fistula treatment (57.2%, 3375/5903). The strongest predictor of remaining married with fistula was either parity at fistula development (adjusted odds ratio [AOR] 1.4–4.4) or living kids at fistula repair (among women who had not given birth between fistula development and repair) (AOR 1.7–4.9). Predicted probability of remaining married declined sharply over the first 2 years of incontinence, levelling out thereafter. Predicted probability of remaining married was lower for women with both urinary and faecal incontinence (AOR 0.68) as compared with women with urinary incontinence alone. Probability of remaining married with fistula declined over time (AOR 1.03–0.57). The woman’s education was not a statistically significant predictor, but the odds of remaining married were 26% higher if the husband had any formal schooling.ConclusionMost husbands do not abandon wives with fistula following childbirth. Treatment, counselling, social support and rehabilitation must consider the circumstances of each woman, engaging men as partners where appropriate. Communities and facilities offering fistula repair services should stress the importance of early intervention.

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“…Evidence shows that infants born to women with obstetric complications are 3.7 times more likely to die than those without complications (11). Economically, women spend 11% more than men in similar age groups on reproductive age morbidity treatment expenditures, 24% have di culty in resuming household work (12), and socially, some women are neglected by their husbands due to reproductive age morbidities such as stula, (13). The high levels of intimate partner violence among pregnant women may also exacerbate maternal morbidities (14).…”

Section: Introductionmentioning

confidence: 99%

Comparative evidence of years lived with reproductive age morbidity in sub-Saharan Africa (2010-2018)

Kalindi

Houle

Canudas-Romo

2022

Preprint

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BackgroundDespite remarkable progress in reducing maternal mortality over the past three decades, maternal morbidities remain high, particularly in sub-Saharan Africa (SSA). However, the number of years women spend with maternal morbidities, and how much each maternal complication contributes to unhealthy remaining years in reproductive ages is unknown. We estimate the number of life years that women of reproductive ages spend in poor health due to indirect maternal health morbidities. MethodsWe use Demographic and Health Survey data from 23 SSA countries to estimate age-specific mortality prevalence in reproductive age women, and construct life tables to estimate the survival function and reproductive age life expectancy (RALE) with and without HIV and anemia using the Sullivan method. ResultsThere is a high prevalence of HIV (4.9%) and anemia (34.3%) among SSA women. There is also heterogeneity in prevalence across regions, with higher prevalence of anemia in East (27.9%), Central (36.5%) and West Africa (47.8%), and HIV in Southern Africa (13.0%). These conditions compromise women’s health by an average of 14.3 years [CI 95%, 14.3-14.4], approximately 42% of RALE life years. On average, SSA women spend 11.6 years [11.6-11.7] with anemia, 1.7 years [1.7-1.8] with HIV, and 1.1 years [1.1-1.2] with both conditions. ConclusionsThe high burden of life years with reproductive age morbidities among SSA women highlights that to achieve healthy lives for women and children as part of Sustainable Development Goal 3, morbidity prevention and management measures among women will need to be enhanced over the entire reproductive age span.

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The Experience of Women with Obstetric Fistula following Corrective Surgery: A Qualitative Study in Benadir and Mudug Regions, Somalia

Cited by 24 publications

References 14 publications

Sub-Saharan African women’s views and experiences of risk factors for obstetric fistula: a qualitative systematic review

Sub-Saharan African women’s views and experiences of risk factors for obstetric fistula: a qualitative systematic review

Factors associated with marital status of women with genital fistula after childbirth: a retrospective review in nine African countries

Comparative evidence of years lived with reproductive age morbidity in sub-Saharan Africa (2010-2018)

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