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|Title: ||The Obstetric Vesicovaginal Fistula: Characteristics of 899 Patients from Jos, Nigeria|
|Authors: ||Wall, Lewis .L|
Karshima, Jonathan .A
Arrowsmith, Steven .D
|Keywords: ||Vesicovaginal fistula,|
|Issue Date: ||Apr-2004|
|Publisher: ||American Journal of Obstetrics and Gynecology|
|Series/Report no.: ||Vol,190;|
|Abstract: ||Objective: The purpose of this study was to describe the characteristics of women with obstetric
vesicovaginal fistulas at a hospital in north central Nigeria.
Study design: A retrospective record review was conducted of all women who were seen with
vesicovaginal fistulas at Evangel Hospital in Jos, Plateau State, Nigeria, between January 1992
and June 1999.
Results: A total of 932 fistula cases were identified, of which 899 cases (96.5%) were associated
temporally with labor and delivery. The ‘‘typical patient’’ was small and short (44 kg and
!150 cm); had been married early (15.5 years) but was now divorced or separated; was uneducated,
poor, and from a rural area; had developed her fistula as a primigravida during a labor
that lasted at least 2 days and which resulted in a stillborn fetus.
Conclusion: Obstetric vesicovaginal fistula is extremely common in north central Nigeria. A complex
interaction that involves multiple biologic and socioeconomic factors appears to predispose
young women to this devastating childbirth injury.
2004 Elsevier Inc. All rights reserved.|
|Appears in Collections:||Obstetrics and Gynaecology|
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