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Obstetric fistulae in West Africa: patient perspectives.
- Source :
-
American journal of obstetrics and gynecology [Am J Obstet Gynecol] 2009 May; Vol. 200 (5), pp. e40-2. Date of Electronic Publication: 2008 Dec 27. - Publication Year :
- 2009
-
Abstract
- Objective: The objective of this study is to gain insight into the nature of obstetric fistulae in Africa through patient perspectives.<br />Study Design: At l'Hôpital Saint Jean de Dieu in Tanguieta, Benin, 37 fistula patients underwent structured interviews about fistula cause, obstacles to medical care, prevention, and reintegration by 2 physicians via interpreters.<br />Results: The majority of participants (43%) thought their fistulae were a result of trauma from the operative delivery. Lack of financial resources (49%) was the most commonly reported obstacle to care, and prenatal care (38%) was most frequently reported as an intervention that may prevent obstetric fistulae. The majority (49%) of the participants requested no further reintegration assistance aside from surgery.<br />Conclusion: Accessible emergency obstetric care is necessary to decrease the burden of obstetric fistulae in Africa. This may be accomplished through increased and improved health care facilities and education of providers and patients.
- Subjects :
- Africa, Western epidemiology
Attitude to Health
Delivery, Obstetric
Female
Global Health
Health Care Costs
Health Services Accessibility economics
Humans
Morbidity
Obstetric Labor Complications surgery
Obstetric Surgical Procedures economics
Obstetric Surgical Procedures statistics & numerical data
Pregnancy
Surveys and Questionnaires
Vesicovaginal Fistula surgery
Health Services Accessibility statistics & numerical data
Obstetric Labor Complications epidemiology
Obstetric Labor Complications psychology
Vesicovaginal Fistula epidemiology
Vesicovaginal Fistula psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1097-6868
- Volume :
- 200
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- American journal of obstetrics and gynecology
- Publication Type :
- Academic Journal
- Accession number :
- 19111717
- Full Text :
- https://doi.org/10.1016/j.ajog.2008.10.014