Characterising women with obstetric fistula and urogenital tract injuries in Tanzania.

Abstract:

INTRODUCTION AND HYPOTHESIS:World Health Organisation (WHO) data suggest that more than two million women and girls live with fistula and that an additional 50-100,000 are newly affected each year. In Tanzania, it has been estimated that there are between 1,200 and 3,000 new cases of obstetric fistula annually. METHODS:To characterize women undergoing surgery in 2011 for obstetric fistula repair at a disability hospital associated with Comprehensive Community Based Rehabilitation in Tanzania (CCBRT), we identified routinely collected data and input into an Access database. RESULTS:Women affected by obstetric fistulae in Tanzania are frequently young, poorly educated, primiparous, subsistence farmers or housewives and have experienced obstructed labour as a result of delays occurring at home and/or after reaching a health facility. The majority experienced stillbirth, particularly in cases of assisted or operative delivery. Success rates for fistula closure were high, at 91 %, but residual incontinence on discharge from hospital was seen in 39 %. CONCLUSIONS:Longer-term follow-up is required to determine rates of disabling residual incontinence and to examine demographics in greater depth, including variation between regions and in urban, periurban and rural settings in Tanzania.

journal_name

Int Urogynecol J

authors

Siddle K,Vieren L,Fiander A

doi

10.1007/s00192-013-2185-9

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

249-55

issue

2

eissn

0937-3462

issn

1433-3023

journal_volume

25

pub_type

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