| Autor: |
Wall, L. Lewis, Karshima, Jonathan A., Kirschner, Carolyn, Arrowsmith, Steven D. |
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| Zdroj: |
American Journal of Obstetrics & Gynecology; Apr2004, Vol. 190 Issue 4, p1011-1019, 9p, 2 Charts, 1 Graph, 1 Map |
| Abstrakt: |
Objective: The purpose of this study was to describe the characteristics of women with obstetric vesicovaginal fistulas at a hospital in north central Nigeria. Study design: A retrospective record review was conducted of all women who were seen with vesicovaginal fistulas at Evangel Hospital in Jos, Plateau State, Nigeria, between January 1992 and June 1999. Results: A total of 932 fistula cases were identified, of which 899 cases (96.5%) were associated temporally with labor and delivery. The "typical patient" was small and short (44 kg and <150 cm); had been married early (15.5 years) but was now divorced or separated; was uneducated, poor, and from a rural area; had developed her fistula as a primigravida during a labor that lasted at least 2 days and which resulted in a stillborn fetus. Conclusion: Obstetric vesicovaginal fistula is extremely common in north central Nigeria. A complex interaction that involves multiple biologic and socioeconomic factors appears to predispose young women to this devastating childbirth injury. [ABSTRACT FROM AUTHOR] |
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