Short-Term Complications and Associated Factors among Women Undergoing Obstetric Fistula Repair At Bugando Medical Centre, Mwanza, Tanzania (Record no. 19452)

MARC details
000 -LEADER
fixed length control field 03058nam a22002897a 4500
003 - CONTROL NUMBER IDENTIFIER
control field OSt
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20240305193728.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 221118b |||||||| |||| 00| 0 eng d
028 ## - PUBLISHER OR DISTRIBUTOR NUMBER
Source Phone: +255 28 298 3384
Source Fax: +255 28 298 3386
Source Email: vc@bugando.ac.tz
Source Website: www.bugando.ac.tz
040 ## - CATALOGING SOURCE
Transcribing agency DLC
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title English
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Katherine T Magali
9 (RLIN) 45460
222 ## - KEY TITLE
Key title Obstetric fistula repair, Short term complications, Tanzania
245 ## - TITLE STATEMENT
Title Short-Term Complications and Associated Factors among Women Undergoing Obstetric Fistula Repair At Bugando Medical Centre, Mwanza, Tanzania
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Mwanza, Tanzania:
Name of publisher, distributor, etc. Ethiopian Medical Journal &
-- Catholic University of Health and Allied Sciences [CUHAS – Bugando]
Date of publication, distribution, etc. 2017/3/7
490 ## - SERIES STATEMENT
Volume/sequential designation Ethiopian Medical Journal Volume 55 Issue 2
520 ## - SUMMARY, ETC.
Summary, etc. Abstract<br/><br/>Introduction: Obstetric fistula is the most distressing condition in developing countries due to morbidity and loss of quality of life attributable to it. This study was conducted to determine short term complications and factors associated with these complications after repair the fistula.<br/><br/>Methods: This was descriptive follow up study conducted at Bugando Medical Centre from September 2014 to April 2015 involving 132 women with obstetric fistula and operated at the Centre. Social, demographic and clinical information were collected using questionnaires. Urine samples for culture and sensitivity were collected intra-operatively and data was analyzed using STATA version 11 software.<br/><br/>Results: The median (interquartile range) age of the participants was 23 (20-32) years. The proportion of women who developed short term complications was 42 (31.8%); with predominant complications being failed repair 18 (42.9%) and stress incontinence 10 (23.8%). Asymptomatic bacteriuria was found in 50.8% (33/65) of patients with preponderance of Gram negative bacteria. HIV seropositivity was documented in 4.1% of 123 tested patients and it was significantly associated with short term complications (p=0.002). Moreover, residing in rural areas (p=0.042); median duration of labor for more than 24 hours (p=0.002) with OR (95%CI) 4.38 (1.59 – 13.89), fistula type (p =0.005) and size (p =0.006), reduced bladder capacity (p <0.001) and urethral length (p =0.001) as well as presence of fibrosis (p =0.004) were significantly associated with short term complications among women repaired for obstetric fistulas.<br/><br/>Conclusion: The proportion of women developing short term complications at Bugando Medical Centre is high; with the common complications being failed repair and stress incontinence. The complications were associated with residing in rural areas, HIV seropositivity and fistula characteristics.<br/><br/>
700 ## - ADDED ENTRY--PERSONAL NAME
9 (RLIN) 19633
9 (RLIN) 45461
9 (RLIN) 45462
9 (RLIN) 45463
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://www.emjema.org/index.php/EMJ/article/view/189">https://www.emjema.org/index.php/EMJ/article/view/189</a>
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme ddc
Koha item type RESEARCH ARTICLES
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