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Demographic and delivery characteristics associated with obstetric fistula in Kigali, Rwanda
Author(s) -
Washington Blair B.,
Raker Christina A.,
Kabeja George A.,
Kay Allison,
Hampton Brittany S.
Publication year - 2015
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2014.09.033
Subject(s) - medicine , fistula , obstetrics , demographics , pregnancy , cesarean delivery , medical record , vesicovaginal fistula , retrospective cohort study , obstetric history , vaginal delivery , cervix , gynecology , surgery , gestation , demography , cancer , sociology , biology , genetics
Objective To assess the characteristics of Rwandan women undergoing surgical correction of obstetric fistula. Methods A retrospective, cross‐sectional study was conducted of women undergoing surgery to repair obstetric fistula as part of a program run by the International Organization for Women and Development in Kigali, Rwanda, between April 1, 2010, and February 28, 2011. Data were collected from medical records, including demographics, obstetric history, and results of the physical examination. Results A total of 65 women underwent fistula surgery in the study period. Among 59 women for whom relevant data were available, 43 (73%) reported that the fetus did not survive the pregnancy during which the fistula developed. Delivery had occurred in a healthcare facility for 49 (82%) of 60 women. Delivery was by cesarean in 31 (48%) women included in the analyses. Cervicovesical or uterovesical fistula occurred more frequently among women who underwent cesarean delivery (9 [29%]) than among those who underwent vaginal delivery (3 [9%] of 34; P = 0.04). There was no difference in the number of fetal or neonatal deaths between the two groups ( P = 0.2). Conclusion Approximately half of the women in the sample delivered by cesarean, and these women were more likely to have a fistula involving the uterus or cervix.