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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Autores principales: Joseph Nesambi, Olivier Mukuku, Prosper Kakudji, Jean-Baptiste Kakoma
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Lenguaje:EN
Publicado: Shiraz University of Medical Sciences 2019
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Acceso en línea:https://doaj.org/article/eab255db02e04ea3adb2f508a95100c2
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic obstetric fistula
socio-demographic
delivery
haut-katanga
Medicine
R
spellingShingle 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
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