• Publications
  • Influence
Obstetric vesicovaginal fistula as an international public-health problem
  • L. Wall
  • Medicine
    The Lancet
  • 30 September 2006
TLDR
The pathophysiology of vesicovaginal fistula in obstructed labour is reviewed and the effect of this condition on the lives of women in developing countries is described.
Dead mothers and injured wives: the social context of maternal morbidity and mortality among the Hausa of northern Nigeria.
  • L. Wall
  • Medicine
    Studies in family planning
  • 1 December 1998
TLDR
The convergence of all of these factors has resulted in one of the worst records of female reproductive health existing anywhere in the world.
The obstetric vesicovaginal fistula: characteristics of 899 patients from Jos, Nigeria.
TLDR
A complex interaction that involves multiple biologic and socioeconomic factors appears to predispose young women to this devastating childbirth injury in north central Nigeria.
The Obstetric Vesicovaginal Fistula in the Developing World
"In vast areas of the world, in South East Asia, in Burma, in India, 'in parts of Central America, South America and Africa 50 million women will bring forth their children this year in sorrow, as in
The epidemiology of genitourinary fistulae in Kumasi, Ghana, 1977–1992
TLDR
In Kumasi, Ghana, obstetric trauma from prolonged obstructed labor is the most common cause of genitourinary fistula formation and such fistulae occur in older multiparous women as well in young primigravidae.
Obstructed labor injury complex: obstetric fistula formation and the multifaceted morbidity of maternal birth trauma in the developing world.
TLDR
Women who have experienced prolonged obstructed labor often develop serious social problems, including divorce, exclusion from religious activities, separation from their families, worsening poverty, malnutrition, and almost unendurable suffering.
The Evolutionary Origins of Obstructed Labor: Bipedalism, Encephalization, and the Human Obstetric Dilemma
TLDR
The evolutionary origins of the human obstetric dilemma are reviewed with special reference to the changes imposed on pelvic architecture by the assumption of upright, bipedal posture and locomotion, and the development of the maternal and fetal brain and their evolutionary changes that occurred to overcome obstructive labor are summarized.
Obstetric Fistula Is a “Neglected Tropical Disease”
  • L. Wall
  • Medicine
    PLoS neglected tropical diseases
  • 1 August 2012
TLDR
It is argued that obstetric fistula should be classified as an NTD because it is also a preventable, treatable malady responsible for much suffering, stigmatization, and lost productivity among the impoverished “bottom billion” of the world's population.
The medical ethics of Dr J Marion Sims: a fresh look at the historical record
  • L. Wall
  • Sociology, Medicine
    Journal of Medical Ethics
  • 26 May 2006
TLDR
The evidence suggests that Sims’s original patients were willing participants in his surgical attempts to cure their affliction—a condition for which no other viable therapy existed at that time.
Overcoming phase 1 delays: the critical component of obstetric fistula prevention programs in resource-poor countries
  • L. Wall
  • Medicine
    BMC Pregnancy and Childbirth
  • 18 July 2012
TLDR
Women in resource-poor countries will use institutional obstetric care when the services provided are valued more than the competing choices offered by a pluralistic medical system, and the utilization of these services is driven largely by trust.
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