The obstetric urogenital fi stula has caused women misery ever since they fi rst started delivering children. It was once common worldwide, but with the advent of safe obstetric care during the early part of the last century, the condition has become rare in rich countries. Urogenital fi stulae do still occur in developed countries, but unlike in the developing world, they are usually a complic...

OBJECTIVE To assess the impact of a pilot community-mobilization program on maternal and perinatal mortality and obstetric fistula in Niger. METHODS In the program, village volunteers identify and evacuate women with protracted labor, provide education, and collect data on pregnancies, births, and deaths. These data were used to calculate the reduction in maternal mortality, perinatal mortali...

BACKGROUND Obstetric fistulas in developed countries are infrequent and have been associated with instrumental vaginal delivery, manual removal of placenta and surgical complications during caesarean section. We present the diagnosis and treatment of an obstetric fistula of patient without clear risk factors in a developed country. CASE REPORT The case presented is of a 37 weeks pregnant with...

Obstetric fistula usually originates from obstructed labor or, less often, from invasive maneuvers on the genital tract or the pregnant uterus. Overall, it is a rare finding in the obstetric practice of high income countries. In this report we describe the case of a successful term pregnancy in a patient with a history of recurrent late miscarriage due to a large cervical fistula of traumatic o...

It is estimated that more than 2 million women are living with obstetric fistulas (OFs) worldwide, particularly in Africa and Asia, and yet this severe morbidity remains hidden. As a contribution to the global Campaign to End Fistula, the World Health Organization (WHO) published Obstetric fistula: Guiding principles for clinical management and programme development, a manual intended as a prac...

BACKGROUND Obstetric fistula is a serious medical condition which affects women in low income countries. Despite the progress of research on fistula, there is little data on long term follow-up after surgical repair. The objective of this study is to analyse the factors associated with the recurrence of fistula and the outcomes of pregnancy following fistula repair in Guinea. METHODS A descri...

Rectovaginal fistula causes distressing symptoms and usually caused by obstetric trauma in developing countries especially in Sub Saharan Africa. The index case is reported to highlight the rare situation, where a 20 years old newly married woman developed low rectovaginal fistula following her first time coitus.

This study is intended to assess the bio-psychosocial effects of obstetric fistulas (OF) on women and the subsequent consequences and impacts on relationships and self esteem of affected womenparticularly in northern Ghana. To facilitate effective discussion of findings, literature was reviewed from international, national and local perspectives.A quantitative research technique was used to obt...