Socio-demographic and delivery characteristics of patients with obstetric fistula in Haut-Katanga Province, Democratic Republic of Congo
Background: In developing countries, fistulae are generally caused by long obstructed labors. Obstetric fistula (OF) is a severe condition which can have devastating consequences for a woman’s life.Objective: Describe the socio-demographic and delivery characteristics of patients with OF in Haut-Kat...
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Shiraz University of Medical Sciences
2019
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oai:doaj.org-article:eab255db02e04ea3adb2f508a95100c22021-11-14T08:42:24ZSocio-demographic and delivery characteristics of patients with obstetric fistula in Haut-Katanga Province, Democratic Republic of Congo2783-2430https://doaj.org/article/eab255db02e04ea3adb2f508a95100c22019-09-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_45846_9b0c57769b802b408eadb9587a82d937.pdfhttps://doaj.org/toc/2783-2430Background: In developing countries, fistulae are generally caused by long obstructed labors. Obstetric fistula (OF) is a severe condition which can have devastating consequences for a woman’s life.Objective: Describe the socio-demographic and delivery characteristics of patients with OF in Haut-Katanga province in the DRCongo.Methods: This is a prospective descriptive study of 413 patients with OF in Haut-Katanga province during the period from September 2009 to December 2018.Results: At fistula occurrence, 53.3% of patients were younger than 20 years (mean age: 21.3 ± 6.7 years) and 65.8% were primiparous. More than half had primary education and 39.7% were illiterate; 70.2% of the patients were separated or divorced. Fistula developed after delivery at home in 239 (57.9%) of 413 women. A total of 393 (95.2%) women developed fistula after vaginal delivery. A total of 387 (93.7%) of the 413 women reported that the fetus did not survive the labor during which fistula developed. 92.3% had a vesico-vaginal fistula and the mean age of fistula was 6.5 years. Surgical repair was successful in 82.9%.Conclusion: Obstructed labor remains the most important cause of OF in Haut-Katanga. It is important to prevent OF arising from obstructive causes. The surgical treatment of OF will depend upon the type, size and location of fistula.Joseph NesambiOlivier MukukuProsper KakudjiJean-Baptiste KakomaShiraz University of Medical Sciencesarticleobstetric fistulasocio-demographicdeliveryhaut-katangaMedicineRENIranian Journal of Colorectal Research, Vol 7, Iss 3, Pp 1-5 (2019) |
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obstetric fistula socio-demographic delivery haut-katanga Medicine R |
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obstetric fistula socio-demographic delivery haut-katanga Medicine R Joseph Nesambi Olivier Mukuku Prosper Kakudji Jean-Baptiste Kakoma Socio-demographic and delivery characteristics of patients with obstetric fistula in Haut-Katanga Province, Democratic Republic of Congo |
description |
Background: In developing countries, fistulae are generally caused by long obstructed labors. Obstetric fistula (OF) is a severe condition which can have devastating consequences for a woman’s life.Objective: Describe the socio-demographic and delivery characteristics of patients with OF in Haut-Katanga province in the DRCongo.Methods: This is a prospective descriptive study of 413 patients with OF in Haut-Katanga province during the period from September 2009 to December 2018.Results: At fistula occurrence, 53.3% of patients were younger than 20 years (mean age: 21.3 ± 6.7 years) and 65.8% were primiparous. More than half had primary education and 39.7% were illiterate; 70.2% of the patients were separated or divorced. Fistula developed after delivery at home in 239 (57.9%) of 413 women. A total of 393 (95.2%) women developed fistula after vaginal delivery. A total of 387 (93.7%) of the 413 women reported that the fetus did not survive the labor during which fistula developed. 92.3% had a vesico-vaginal fistula and the mean age of fistula was 6.5 years. Surgical repair was successful in 82.9%.Conclusion: Obstructed labor remains the most important cause of OF in Haut-Katanga. It is important to prevent OF arising from obstructive causes. The surgical treatment of OF will depend upon the type, size and location of fistula. |
format |
article |
author |
Joseph Nesambi Olivier Mukuku Prosper Kakudji Jean-Baptiste Kakoma |
author_facet |
Joseph Nesambi Olivier Mukuku Prosper Kakudji Jean-Baptiste Kakoma |
author_sort |
Joseph Nesambi |
title |
Socio-demographic and delivery characteristics of patients with obstetric fistula in Haut-Katanga Province, Democratic Republic of Congo |
title_short |
Socio-demographic and delivery characteristics of patients with obstetric fistula in Haut-Katanga Province, Democratic Republic of Congo |
title_full |
Socio-demographic and delivery characteristics of patients with obstetric fistula in Haut-Katanga Province, Democratic Republic of Congo |
title_fullStr |
Socio-demographic and delivery characteristics of patients with obstetric fistula in Haut-Katanga Province, Democratic Republic of Congo |
title_full_unstemmed |
Socio-demographic and delivery characteristics of patients with obstetric fistula in Haut-Katanga Province, Democratic Republic of Congo |
title_sort |
socio-demographic and delivery characteristics of patients with obstetric fistula in haut-katanga province, democratic republic of congo |
publisher |
Shiraz University of Medical Sciences |
publishDate |
2019 |
url |
https://doaj.org/article/eab255db02e04ea3adb2f508a95100c2 |
work_keys_str_mv |
AT josephnesambi sociodemographicanddeliverycharacteristicsofpatientswithobstetricfistulainhautkatangaprovincedemocraticrepublicofcongo AT oliviermukuku sociodemographicanddeliverycharacteristicsofpatientswithobstetricfistulainhautkatangaprovincedemocraticrepublicofcongo AT prosperkakudji sociodemographicanddeliverycharacteristicsofpatientswithobstetricfistulainhautkatangaprovincedemocraticrepublicofcongo AT jeanbaptistekakoma sociodemographicanddeliverycharacteristicsofpatientswithobstetricfistulainhautkatangaprovincedemocraticrepublicofcongo |
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1718429810726797312 |