TY - JOUR
T1 - Commonalities among women who experienced vesicovaginal fistulae as a result of obstetric trauma in Niger
T2 - results from a survey given at the National Hospital Fistula Center, Niamey, Niger
AU - Meyer, Larissa
AU - Ascher-Walsh, Charles J.
AU - Norman, Rachael
AU - Idrissa, Abdoulaye
AU - Herbert, Hadley
AU - Kimso, Oumou
AU - Wilkinson, Jeffrey
PY - 2007/7
Y1 - 2007/7
N2 - Objective: The purpose of this study was to evaluate the histories of women with urinary incontinence caused by vesicovaginal fistulae in Niger. This is an exploratory analysis to investigate possible contributing factors to the development of vesicovaginal fistulae. Study Design: From September 2005 to January 2006, 58 women who were treated for vesicovaginal fistulae at the National Hospital Fistula Center, Niamey, Niger, were interviewed. Results: The average age of marriage was 15.6 years and of first pregnancy was 17.3 years; 44.9% of the women were primigravid; and 94.8% of the women began labor at home. By delivery, 91.4% of the women sought additional care. The average labor lasted 2.61 days. An average of 1.61 days passed before further assistance was sought; 91.4% of infants were stillborn. Conclusion: Early marriage, young age at first pregnancy, and labor length are common findings in our population of women with vesicovaginal fistulae. Most women who experienced fistulae also had poor obstetric outcomes. Increasing access to emergency obstetric care is of paramount importance to prevent fistula formation.
AB - Objective: The purpose of this study was to evaluate the histories of women with urinary incontinence caused by vesicovaginal fistulae in Niger. This is an exploratory analysis to investigate possible contributing factors to the development of vesicovaginal fistulae. Study Design: From September 2005 to January 2006, 58 women who were treated for vesicovaginal fistulae at the National Hospital Fistula Center, Niamey, Niger, were interviewed. Results: The average age of marriage was 15.6 years and of first pregnancy was 17.3 years; 44.9% of the women were primigravid; and 94.8% of the women began labor at home. By delivery, 91.4% of the women sought additional care. The average labor lasted 2.61 days. An average of 1.61 days passed before further assistance was sought; 91.4% of infants were stillborn. Conclusion: Early marriage, young age at first pregnancy, and labor length are common findings in our population of women with vesicovaginal fistulae. Most women who experienced fistulae also had poor obstetric outcomes. Increasing access to emergency obstetric care is of paramount importance to prevent fistula formation.
KW - Africa
KW - incontinence
KW - obstructed labor
KW - vesicovaginal fistula
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U2 - 10.1016/j.ajog.2007.03.071
DO - 10.1016/j.ajog.2007.03.071
M3 - Article
C2 - 17618772
AN - SCOPUS:34347216673
SN - 0002-9378
VL - 197
SP - 90.e1-90.e4
JO - American journal of obstetrics and gynecology
JF - American journal of obstetrics and gynecology
IS - 1
ER -