Social Experiences of Women with Obstetric Fistula Seeking Treatment in Kampala, Uganda
| Autor: | Barageine Justus Kafunjo, Galya Ruffer, Rene R. Genadry, Carol A. Heimer, Marielle E Meurice |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Fistula Social Stigma Infectious and parasitic diseases RC109-216 03 medical and health sciences Young Adult 0302 clinical medicine Social experience Pregnancy Surveys and Questionnaires Health care medicine Humans Uganda 030212 general & internal medicine Qualitative Research Obstetric fistula 030219 obstetrics & reproductive medicine Descriptive statistics Vesicovaginal Fistula Obstructed labor business.industry Obstetrics Vaginal Fistula Rectovaginal Fistula Social environment General Medicine Middle Aged Social engagement medicine.disease Delivery Obstetric Social Participation Obstetric Labor Complications Genitourinary Fistula Genitourinary fistula Obstetric history Female Maternal health Public aspects of medicine RA1-1270 business |
| Zdroj: | Annals of Global Health, Vol 83, Iss 3-4, Pp 541-549 (2017) |
| ISSN: | 2214-9996 |
| Popis: | BackgroundObstetric fistula is a preventable and treatable condition predominately affecting women in low-income countries. Understanding the social context of obstetric fistula may lead to improved prevention and treatment.ObjectivesThis study investigated social experiences of women with obstetric fistula seeking treatment at Mulago Hospital in Kampala, Uganda.MethodsA descriptive study was conducted among women seeking treatment for obstetric fistula during a surgical camp in July 2011 using a structured questionnaire. Descriptive statistics were computed regarding sociodemographics, obstetric history, and social experience.FindingsFifty-three women participated; 39 (73.58%) leaked urine only. Median age was 29 years (range: 17-58), and most were married or separated. About half (28, 47.9%) experienced a change in their relationship since acquiring obstetric fistula. More than half (27, 50.94%) acquired obstetric fistula during their first delivery, despite almost everyone (50, 94.3%) receiving antenatal care. The median years suffering from obstetric fistula was 1.25. Nearly every participant's social participation changed in at least one setting (51, 96.23%). Most women thought that a baby being too big or having kicked their bladder was the cause of obstetric fistula. Other participants thought health care providers caused the fistula (15, 32.61%; n = 46), with 8 specifying that the bladder was cut during the operation (cesarean section). Knowing someone with obstetric fistula was influential in pursuing treatment. The majority of participants planned to return to family (40, 78.43%; n = 51) and get pregnant after repair (35, 66.04%; n = 53).ConclusionStudy participants experienced substantial changes in their social lives as a result of obstetric fistula, and there were a variety of beliefs regarding the cause. The complex social context is an important component to understanding how to prevent and treat obstetric fistula. Further elucidation of these factors may bolster current efforts in prevention and holistic treatment. |
| Databáze: | OpenAIRE |
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