Obstetric fistulae in West Africa: patient perspectives

Lisa M. Nathan, Charles H. Rochat, Bogdan Grigorescu, Erika Banks

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Objective: The objective of this study is to gain insight into the nature of obstetric fistulae in Africa through patient perspectives. Study Design: At l'Hôpital Saint Jean de Dieu in Tanguieta, Benin, 37 fistula patients underwent structured interviews about fistula cause, obstacles to medical care, prevention, and reintegration by 2 physicians via interpreters. Results: The majority of participants (43%) thought their fistulae were a result of trauma from the operative delivery. Lack of financial resources (49%) was the most commonly reported obstacle to care, and prenatal care (38%) was most frequently reported as an intervention that may prevent obstetric fistulae. The majority (49%) of the participants requested no further reintegration assistance aside from surgery. Conclusion: Accessible emergency obstetric care is necessary to decrease the burden of obstetric fistulae in Africa. This may be accomplished through increased and improved health care facilities and education of providers and patients.

Original languageEnglish (US)
JournalAmerican Journal of Obstetrics and Gynecology
Volume200
Issue number5
DOIs
StatePublished - May 2009

Fingerprint

Western Africa
Obstetrics
Fistula
Benin
Prenatal Care
Health Facilities
Emergency Medical Services
Patient Education
Health Education
Interviews
Delivery of Health Care
Physicians
Wounds and Injuries

Keywords

  • global health
  • international heath
  • maternal morbidity
  • obstetric fistula
  • obstructed labor

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Obstetric fistulae in West Africa : patient perspectives. / Nathan, Lisa M.; Rochat, Charles H.; Grigorescu, Bogdan; Banks, Erika.

In: American Journal of Obstetrics and Gynecology, Vol. 200, No. 5, 05.2009.

Research output: Contribution to journalArticle

Nathan, Lisa M. ; Rochat, Charles H. ; Grigorescu, Bogdan ; Banks, Erika. / Obstetric fistulae in West Africa : patient perspectives. In: American Journal of Obstetrics and Gynecology. 2009 ; Vol. 200, No. 5.
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