Socio-Demographic Characteristics and Risk Factors of Obstetric Fistula Patients Admitted at Bugando Medical Centre (April 2014-April 2015).
Material type:
TextPublisher number: Wurzburg Road 35, BMC Premises, Post Code: 33102: P. O Box 1464, Mwanza – Tanzania:Phone: +255 28 298 3384: Fax: +255 28 298 3386: Email: vc@bugando.ac.tz www.bugando.ac.tzLanguage: English Language: Kiswahili Publication details: Mwanza, Tanzania: Catholic University of Health and Allied Sciences [CUHAS – Bugando] : ©2016Description: 35 Pages; Includes ReferencesSubject(s): Summary: Abstract:
Background: Obstetric fistula is a problem to developing countries like Tanzania. It was causes tremendous problem to women at a young reproductive age and matured ones. It has been linked with so many complications like ammoniacal smell, vulva excoriations, social stigmatization, amenorrhea and secondary infertility and others. The problem is that majority of the victims are young girls, who are from poor families, others with no support from the fathers responsible for the pregnancies. Many are also unemployed, with low socioeconomic levels and even without basic education levels.
Objective: To described the socio-demographic characteristics and risk factors of fistula patients admitted at Bugando medical centre.
Methods: A retrospective hospital based study was done in 140 patients files. All data were collected using files at Bugando medical centre medical records. Data entry analysis was done using Microsoft excel and SPSS version 20 respectively.
Results: A total of 140 patients with obstetric fistula from April 2014 to April 2015 were reviewed. Regarding social demographic characteristics, many were from rural (92.1%), the high range of age were those of more than 30 years (38.6%). High percentage of these women were married 70 (50%). Those with one parity were 50 (35.7%), two parity were 13 (9.3%), and 19 (13.6%) were the ones with three parity. Those with more than 3 parity were 49 (35%) cases and unknown were 9 (6.4%) cases. Only 5 (3.6%) were found to have college level education, the rest were primary and unknown education level 5 (3.6%) and 129 (92.1%) respectively. Many were unemployed 137 (97.9%).
The study demonstrated that high percent of women with fistula were from areas, many were found still married despite of their condition. High percent were found monoparity fistula cases and this could be explained by the strongest and most consistent association with longer duration of labor, urethral damage and vaginal scarring or obliteration. Prolonged neglected labor was found to be the leading risk factor for fistula. This could be explained by the fact that many were from rural areas, low level of education, poor economic status that could make them least able to seek for medical attention. The findings may suggest a need for interventions that may improve access to maternal health care and availability of pre-natal services including emergency obstetric care especially in rural areas. More effort should be put in prevention of prolonged reglected labor so as to rescue these women from fistula.
| Item type | Current library | Collection | Status | Barcode | |
|---|---|---|---|---|---|
| UNDERGRADUATE DISSERTATIONS | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | NFIC | 1 | UD0310 |
Abstract:
Background: Obstetric fistula is a problem to developing countries like Tanzania. It was causes tremendous problem to women at a young reproductive age and matured ones. It has been linked with so many complications like ammoniacal smell, vulva excoriations, social stigmatization, amenorrhea and secondary infertility and others. The problem is that majority of the victims are young girls, who are from poor families, others with no support from the fathers responsible for the pregnancies. Many are also unemployed, with low socioeconomic levels and even without basic education levels.
Objective: To described the socio-demographic characteristics and risk factors of fistula patients admitted at Bugando medical centre.
Methods: A retrospective hospital based study was done in 140 patients files. All data were collected using files at Bugando medical centre medical records. Data entry analysis was done using Microsoft excel and SPSS version 20 respectively.
Results: A total of 140 patients with obstetric fistula from April 2014 to April 2015 were reviewed. Regarding social demographic characteristics, many were from rural (92.1%), the high range of age were those of more than 30 years (38.6%). High percentage of these women were married 70 (50%). Those with one parity were 50 (35.7%), two parity were 13 (9.3%), and 19 (13.6%) were the ones with three parity. Those with more than 3 parity were 49 (35%) cases and unknown were 9 (6.4%) cases. Only 5 (3.6%) were found to have college level education, the rest were primary and unknown education level 5 (3.6%) and 129 (92.1%) respectively. Many were unemployed 137 (97.9%).
The study demonstrated that high percent of women with fistula were from areas, many were found still married despite of their condition. High percent were found monoparity fistula cases and this could be explained by the strongest and most consistent association with longer duration of labor, urethral damage and vaginal scarring or obliteration. Prolonged neglected labor was found to be the leading risk factor for fistula. This could be explained by the fact that many were from rural areas, low level of education, poor economic status that could make them least able to seek for medical attention. The findings may suggest a need for interventions that may improve access to maternal health care and availability of pre-natal services including emergency obstetric care especially in rural areas. More effort should be put in prevention of prolonged reglected labor so as to rescue these women from fistula.
There are no comments on this title.