Social implications of obstetric fistula: an integrative review.

@article{Roush2009SocialIO,
  title={Social implications of obstetric fistula: an integrative review.},
  author={Karen M Roush},
  journal={Journal of midwifery \& women's health},
  year={2009},
  volume={54 2},
  pages={
          e21-33
        }
}
  • Karen M Roush
  • Published 4 March 2009
  • Medicine
  • Journal of midwifery & women's health
Obstetric fistula is a devastating complication of obstructed labor that affects more than two million women in developing countries, with at least 75,000 new cases every year. Prolonged pressure of the infant's skull against the tissues of the birth canal leads to ischemia and tissue death. The woman is left with a hole between her vagina and bladder (vesicovaginal) or vagina and rectum (rectovaginal) or both, and has uncontrollable leakage of urine or feces or both. It is widely reported in… 
Closing the gap: a review of the evidence of social reintegration after obstetric fistula repair
Background. Obstetric fistula is the product of prolonged, obstructed and unattended labour, resulting in an abnormal connection between the vagina and rectum or between the vagina and bladder.1 This
Preventing Obstetric Fistulas in Low-Resource Countries: Insights From a Haddon Matrix
  • L. Wall
  • Medicine
    Obstetrical & gynecological survey
  • 2012
TLDR
The resulting analysis suggests that the most effective short-term strategies for obstetric fistula prevention will involve enhanced surveillance of labor, improved access to emergency obstetric services, competent medical care for women both during and after obstructed labor, and the development of specialist fistula centers to treat injured women where fistula prevalence is high.
Still living with fistula: an exploratory study of the experience of women with obstetric fistula following corrective surgery in West Pokot, Kenya
TLDR
A weak health system, poor infrastructure, lack of focus, few resources and weak political emphasis on women's reproductive health do not currently offer enough support for an already disempowered group of women.
Consequences of obstetric fistula in sub Sahara African countries, from patients’ perspective: a systematic review of qualitative studies
TLDR
The consequences of obstetric fistula are far more than the visible medical condition and little evidence is available on mental health, child and fertility issues, and coping mechanisms, therefore, further researches shall be aimed at addressing the understudied area.
An Exploratory Study of Reintegration of Women Following Obstetric Fistula Surgery in West Pokot, Kenya
TLDR
Following corrective surgery, experiences of Pokot women in their quest for social reintegration, a broadly neglected aspect of their healing process, are documented in an exploratory study on obstetric fistula in Kenya.
Determinants of obstetric fistula in Ethiopia
TLDR
It was showed that demographic, socio-economic, environmental and health related variables have an import ant effect on determinants of obstetric fistula in Ethiopia.
Post - effects of obstetric fistula in Uganda; a case study of fistula survivors in KITOVU mission hospital (MASAKA), Uganda
TLDR
A comprehensive and holistic fistula care approach is required to facilitate the reintegration process and restoration of women dignity after successful repair/surgery in Uganda.
Urogenital fistula reviewed: a marker of severe maternal morbidity and an indicator of the quality of maternal healthcare delivery
TLDR
This review explores the most recent published experience with respect to the definition of fistula, its diagnosis, treatment, and management, and further steps for prevention of Fistula on a global scale.
The Prevalence and Impact of Obstetric Fistula on Women of Kaptembwa, Nakuru Kenya
TLDR
It was found imperative to evaluate the prevalence of obstetric fistula on women of Kaptembwa Nakuru, and appraise the impact on the well-being of women and how their experiences have shaped their identities and families.
Restoring dignity: Social reintegration after obstetric fistula repair in Ukerewe, Tanzania
TLDR
Barriers and facilitating factors women experience re-integrating into society after treatment of an obstetric fistula in rural Tanzania are explored and work was the most important factor in helping them feel ‘normal again’.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 19 REFERENCES
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.
Obstetric fistula: a preventable tragedy.
TLDR
Direct prevention of fistula can occur during delivery when skilled providers identify women and girls at risk for obstetric fistula and link them with innovative interventions, such as Fistula Prevention Centers, through which they can more readily access emergency obstetric care and by setting strict time limits for laboring at home without progress.
Social consequences of vesico-vaginal fistula in northern Nigeria.
  • M. Murphy
  • Medicine
    Journal of biosocial science
  • 1981
TLDR
Patients are mainly young, come from subsistence farming backgrounds, are often considered to have brought shame on their families, and frequently lose their husband's support, especially if their condition is of long standing.
MEDICO-SOCIAL PROBLEMS OF PATIENTS WITH VESICO- VAGINAL FISTULA IN MURTALA MOHAMMED SPECIALIST HOSPITAL, KANO
TLDR
Special counselling and enlightenment programme on VVF, the need to train more traditional birth attendants and the need for improve referral of women likely to have VVf to facilities that offer emergency obstetric services were recommended.
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
Experiences of women seeking medical care for obstetric fistula in Eritrea: Implications for prevention, treatment, and social reintegration
TLDR
Findings from qualitative interviews with women seeking medical care for obstetric fistula in Eritrea point to a need for community mobilization and education on safe motherhood for prevention of fistula, as well as for improved information, counselling, follow-up, and social services for women who develop Obstetric fistulas.
Health and social problems encountered by treated and untreated obstetric fistula patients in rural Ethiopia.
TLDR
The care of women with OF should go beyond surgical treatment and should include support for their reintegration into the community with proper follow-up, and some health, social, and sexual problems remained.
Social and economic consequences of obstetric fistula: Life changed forever?
  • S. Ahmed, S. Holtz
  • Medicine
    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
  • 2007
TLDR
The results of a meta‐analysis for 2 major consequences, divorce/separation and perinatal loss and improvements in health and self‐esteem and on the possibility of social reintegration following successful fistula repair are presented.
Social work practice with childbirth-injured women in Nigeria.
  • D. Ojanuga
  • Sociology, Medicine
    Health & social work
  • 1994
TLDR
Nigerian social workers in health care settings have been actively involved in the treatment of women in northern Nigeria who suffer from childbirth injury during obstructed labor who suffers from vesicovaginal fistula.
Preventing birth injury among women in Africa: case studies in northern Nigeria.
  • D. Ojanuga
  • Medicine
    The American journal of orthopsychiatry
  • 1991
TLDR
Case studies of 55 VVF patients in northern Nigeria showed them to be poor, underage village women without sufficient access to modern health facilities at the time of the injury.
...
1
2
...