Social Experiences of Women with Obstetric Fistula Seeking Treatment in Kampala, Uganda

<p>Background</p><p><a title="Learn more about Obstetric fistula" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/obstetric-fistula">Obstetric fistula</a> is a preventable and treatable condition predominately affecting women in low...

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Autores principales:	Marielle Meurice, Rene Genadry, Carol Heimer, Galya Ruffer, Barageine Justus Kafunjo
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2017
Materias:	Genitourinary fistula Maternal health Obstetric fistula Obstructed labor Social experience Uganda Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/03089fdfd4ce41ad986f8586a9f89a02
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spelling	oai:doaj.org-article:03089fdfd4ce41ad986f8586a9f89a022021-12-02T02:20:47ZSocial Experiences of Women with Obstetric Fistula Seeking Treatment in Kampala, Uganda2214-999610.1016/j.aogh.2017.07.003https://doaj.org/article/03089fdfd4ce41ad986f8586a9f89a022017-08-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/169https://doaj.org/toc/2214-9996<p>Background</p><p><a title="Learn more about Obstetric fistula" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/obstetric-fistula">Obstetric fistula</a> is a preventable and treatable condition predominately affecting women in low-income countries. Understanding the social context of obstetric <a title="Learn more about Fistula" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/fistula">fistula</a> may lead to improved prevention and treatment.</p><p>Objectives</p><p>This study investigated social experiences of women with obstetric fistula seeking treatment at Mulago Hospital in Kampala, Uganda.</p><p>Methods</p><p>A 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.</p><p>Findings</p><p>Fifty-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 <a title="Learn more about Social Participation" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/social-participation">social participation</a> 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 <a title="Learn more about Health Care Provider" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/health-care-provider">health care providers</a> 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).</p><p>Conclusion</p>Study 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.Marielle MeuriceRene GenadryCarol HeimerGalya RufferBarageine Justus KafunjoUbiquity PressarticleGenitourinary fistulaMaternal healthObstetric fistulaObstructed laborSocial experienceUgandaInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 83, Iss 3-4, Pp 541-549 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Genitourinary fistula Maternal health Obstetric fistula Obstructed labor Social experience Uganda Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Genitourinary fistula Maternal health Obstetric fistula Obstructed labor Social experience Uganda Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Marielle Meurice Rene Genadry Carol Heimer Galya Ruffer Barageine Justus Kafunjo Social Experiences of Women with Obstetric Fistula Seeking Treatment in Kampala, Uganda
description	<p>Background</p><p><a title="Learn more about Obstetric fistula" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/obstetric-fistula">Obstetric fistula</a> is a preventable and treatable condition predominately affecting women in low-income countries. Understanding the social context of obstetric <a title="Learn more about Fistula" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/fistula">fistula</a> may lead to improved prevention and treatment.</p><p>Objectives</p><p>This study investigated social experiences of women with obstetric fistula seeking treatment at Mulago Hospital in Kampala, Uganda.</p><p>Methods</p><p>A 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.</p><p>Findings</p><p>Fifty-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 <a title="Learn more about Social Participation" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/social-participation">social participation</a> 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 <a title="Learn more about Health Care Provider" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/health-care-provider">health care providers</a> 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).</p><p>Conclusion</p>Study 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.
format	article
author	Marielle Meurice Rene Genadry Carol Heimer Galya Ruffer Barageine Justus Kafunjo
author_facet	Marielle Meurice Rene Genadry Carol Heimer Galya Ruffer Barageine Justus Kafunjo
author_sort	Marielle Meurice
title	Social Experiences of Women with Obstetric Fistula Seeking Treatment in Kampala, Uganda
title_short	Social Experiences of Women with Obstetric Fistula Seeking Treatment in Kampala, Uganda
title_full	Social Experiences of Women with Obstetric Fistula Seeking Treatment in Kampala, Uganda
title_fullStr	Social Experiences of Women with Obstetric Fistula Seeking Treatment in Kampala, Uganda
title_full_unstemmed	Social Experiences of Women with Obstetric Fistula Seeking Treatment in Kampala, Uganda
title_sort	social experiences of women with obstetric fistula seeking treatment in kampala, uganda
publisher	Ubiquity Press
publishDate	2017
url	https://doaj.org/article/03089fdfd4ce41ad986f8586a9f89a02
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Social Experiences of Women with Obstetric Fistula Seeking Treatment in Kampala, Uganda

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