Determinants of obstetric fistula in South-western Ethiopia.
Obstetric fistula
Risk factors
South-western Ethiopia
Journal
International urogynecology journal
ISSN: 1433-3023
Titre abrégé: Int Urogynecol J
Pays: England
ID NLM: 101567041
Informations de publication
Date de publication:
Sep 2021
Sep 2021
Historique:
received:
08
08
2020
accepted:
10
01
2021
pubmed:
24
3
2021
medline:
21
9
2021
entrez:
23
3
2021
Statut:
ppublish
Résumé
Obstetric fistula, despite improved obstetric care, remains a real threat to poor women in rural Ethiopia. This study aimed to identify the risk factors that predispose women to obstetric fistula in South-western Ethiopia. An unmatched case-control study design was employed in which 48 cases (women with obstetric fistula) and 188 controls (women without obstetric fistula) were included. Data were collected using a pre-tested structured questionnaire and organized using Epidata version 3.1. Univariate, bivariate, and multivariate analysis was conducted using SPSS version 20.0. Adjusted odds ratio, 95% confidence level, and p-values were used as the main measure of association. The study revealed that age at pregnancy of < 18 years (AOR = 5, 95% CI = 2-13), residing in rural areas (AOR = 4, 95% CI 1.6-11), lack of antenatal care (AOR = 5, 95% CI 2-14), no history of modern contraception utilization (AOR = 5, 95% CI = 2-13), post-term pregnancy (AOR = 8, 95% CI 3-22), and duration of labor > 24 hours (AOR = 4, 95% CI 2-9) were associated with obstetric fistula. The majority of fistula survivors were teenagers who were living in rural areas. Mothers having no antenatal care, not using modern contraception, having a post-term pregnancy, and having prolonged labor were at increased risk of developing obstetric fistula. Thus, delaying the age of first pregnancy, improving access to basic obstetric care, and advocating the use of modern contraceptive methods are crucial for teenage women residing in rural areas.
Identifiants
pubmed: 33754179
doi: 10.1007/s00192-021-04690-5
pii: 10.1007/s00192-021-04690-5
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2505-2510Informations de copyright
© 2021. The International Urogynecological Association.
Références
Ahmed S, Tunçalp Ö. The burden of obstetric fistula: from measurement to action. Lancet Glob Health. 2015;3(5):e243–4. https://doi.org/10.1016/S2214-109X(15)70105-1 .
doi: 10.1016/S2214-109X(15)70105-1
pubmed: 25889463
Rock JA, Jones HW. Te Linde’s operative gynecology. Philadelphia: Lippincott Williams & Wilkins; 2003. p. 1099–120.
Amna A, Sirichand P, Nadeem F. Women perception and awareness about genitourinary fistula. J Liaquat Uni Med Health Sci. 2015;14(03):129–32.
Zeleke BM, Ayele TA, Woldetsadik MA, et al. Depression among women with obstetric fistula, and pelvic organ prolapse in Northwest Ethiopia. BMC Psychiatry. 2013;13:236. https://doi.org/10.1186/1471-244X-13-236 .
doi: 10.1186/1471-244X-13-236
pubmed: 24070342
pmcid: 3849390
Mubikayi L, Chow E, Matson D, Nzau E, Tandu B. A case-control study of obstetric fistula risk factors in the Democratic Republic of the Congo. Open J Obstet Gynecol. 2016;6:740–53. https://doi.org/10.4236/ojog.2016.612092 .
doi: 10.4236/ojog.2016.612092
World Health Organization. WHO country cooperation strategy 2008-2013 (Gambia). Brazaville: World Health Organization; 2009. Available from: http://www.afro.who.int/en/gambia/country-cooperation-strategy.html
Biadgilign S, Lakew Y, Reda AA, et al. A population-based survey in Ethiopia using questionnaire as a proxy to estimate obstetric fistula prevalence: results from demographic and health survey. Reprod Health. 2013;10:14. https://doi.org/10.1186/1742-4755 .
doi: 10.1186/1742-4755
pubmed: 23432944
pmcid: 3598195
Semere L, Nour NM. Living with incontinence and shame. Rev Obstet Gynecol. 2008;1(4):3–10.
Ten Facts on Obstetric Fistula, World Health Organization Available at https://www.who.int/features/factfiles/obstetric_fistula/en/ . Accessed 15 Nov 2019.
Thematic Evaluation of National Programmes and UNFPA Experience in the Campaign to End Fistula; 2010. Available at http://www.endfistula.org
Daniel NT, Mengistu AK. Causes and consequences of obstetric fistula in Ethiopia. IJMRHS. 2013;2(2):262–5.
Fekadu GA, Ambaw F, Kidanie SA. Facility delivery, and postnatal care services use among mothers who attended four or more antenatal care visits in Ethiopia: further analysis of the 2016 demographic and health survey. BMC Pregnancy Childbirth. 2019;19:64. https://doi.org/10.1186/s12884-019-2216-8 .
doi: 10.1186/s12884-019-2216-8
pubmed: 30744583
pmcid: 6371418
Ampofo K, Otu T, Uchebo G. Epidemiology of vesicovaginal fistulae in northern Nigeria. West Afr J Med. 1990;9(2):98–102.
pubmed: 2268575
Roka ZG, Akech M, Wanzala P, et al. Factors associated with obstetric fistulae occurrence among patients attending selected hospitals in Kenya, 2010: a case-control study. BMC Pregnancy Childbirth. 2013;13:56. https://doi.org/10.1186/1471-2393-13-56 .
doi: 10.1186/1471-2393-13-56
pubmed: 23448615
pmcid: 3599423
Harrison MS, Mabeya H, Goldenberg RL et al Maternal health, neonatal, and perinatal. 2015;1: 20. https://doi.org/10.1186/s40748-015-0020-7 .
Lewis Wall L, Belay S, Haregot T, et al. A case-control study of the risk factors for obstetric fistula in Tigray, Ethiopia. Int Urogynecol J. 2017;28:1817. https://doi.org/10.1007/s00192-017-3368-6 .
doi: 10.1007/s00192-017-3368-6
pubmed: 28550462
Okud A, Ali AA. Epidemiology of obstetric fistula in Kassala, eastern Sudan. Current Women’s Health Rev. 2013;9:223. https://doi.org/10.2174/1573404810999140303111725 .
doi: 10.2174/1573404810999140303111725
Banke-Thomas AO, Kouraogo SF, Siribie A, Taddese HB, Mueller JE. Knowledge of obstetric fistula prevention amongst young women in urban and rural Burkina Faso: a cross-sectional study. PLoS One. 2013;8(12):e85921. https://doi.org/10.1371/journal.pone.0085921 .
doi: 10.1371/journal.pone.0085921
pubmed: 24392032
pmcid: 3877393
Tebeu PM, Fomulu JN, Khaddaj S, de Bernis L, Delvaux T, Rochat CH. Risk factors for obstetric fistula: a clinical review. Int Urogynecol J. 2012;23(4):387–94. https://doi.org/10.1007/s00192-011-1622-x .
doi: 10.1007/s00192-011-1622-x
pubmed: 22143450