alexa Obstetric fistulae: a study of women managed at the Monze Mission Hospital, Zambia.


Tropical Medicine & Surgery

Author(s): Holme A, Breen M, MacArthur C, Holme A, Breen M, MacArthur C

Abstract Share this page

Abstract OBJECTIVE: The objective of this study was to describe and compare characteristics of women with obstetric fistula. DESIGN: Retrospective cross-sectional study. SETTING: Zambia's primary fistula repair centre, Monze Mission Hospital. SAMPLE: All women, August 2003 to December 2005. METHOD: Review of case notes to obtain data on socio-demographic and obstetric characteristics, causative pregnancy, clinical details, and treatment. Comparison of characteristics with national data was undertaken. RESULTS: Of 259 women, 239 had socio-demographic and obstetric records and 254 had surgical records. Educational status and height of women were significantly below the national averages, while antenatal care uptake (97.5\%) and proportion from the Northern Province were significantly above. Most women (77.9\%) weighed < or = 50 kg. Median age at marriage was 18 and at development of fistula was 22 years. 15.1\% of women were divorced, 49.0\% were primiparous, and 27.6\% were parity four +. 67.5\% of women had spent 2 days or longer in labour. Delays in receiving emergency obstetric care (EmOC) were experienced at home (67.5\%) and at clinics (49.4\%), usually due to transport difficulties. 89.1\% delivered in a health facility, 50.2\% of deliveries were by caesarean section, and 78.1\% of babies were stillborn. 72.9\% of repairs were successful, 17.3\% resulted in residual stress incontinence, and 9.8\% failed. Failure was significantly associated with previous repair. CONCLUSION: More obstetric fistulae occur in areas where early marriage and pregnancy before pelvic maturity is attained is common and where obstetric care is inaccessible. In this study, age at marriage and fistula development was older than usually found, which may indicate that poor access to EmOC contributes more to this problem within Zambia. This article was published in BJOG and referenced in Tropical Medicine & Surgery

Relevant Expert PPTs

Relevant Speaker PPTs

Recommended Conferences

Relevant Topics

Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

1-702-714-7001Extn: 9037

Business & Management Journals


1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

1-702-714-7001 Extn: 9042

© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version