Characteristics and Surgical Repair Outcomes of Obstetric Fistula Patients Managedata Teaching Hospital in Zambia: A Retrospective Cross-Sectional Study
Med. j. Zambia
; 49(2): 146-156, 2022. tales, figures
Artigo
em Inglês
| AIM
| ID: biblio-1402635
Biblioteca responsável:
CG1.1
ABSTRACT
BackgroundThe obstetric fistula is a chronic maternal morbidity of global public health concern. The condition is preventable and, in most cases, treatable. Surgicalrepairis themainstay of treatment with varying degrees of success. The aim of this study was to determine the characteristics, surgical outcomes and factors influencing surgical outcomes of women presenting with obstetric fistulas at a Teaching Hospital in Lusaka, Zambia. Methods:
Aretrospective review of medical records for all women who underwent obstetric fistula repair surgeryat Women and Newborn Hospital from 2017 to 2019. Descriptive analysis was done. Fischer's exact test was used to measure association between surgical outcomes and variables in the model. ResultsIn total,18 out of 29 records of patients who underwentfistularepairwereretrievedandanalyzed. Ages ranged from 15 to 47 years, mean age 29years.Overtwothirds(72.23%)weremultiparous, and over 3/4ths (77.8%) underwent caesarean section in the antecedent pregnancy. Success rate for fistula repair was 83%at 2 weeks post-operative.Study findings were inadequate to show a significant association between successful repair and factors in the model.Conclusion:
Majority of women presenting with obstetric fistula were multiparous with a history of prolonged labour, delivery by caesarean section and poor birth outcomes. Success rate for obstetric fistula repair at Women and Newborn Hospital was 83% at 2weeks postoperative. Further studies are needed to assess long-term outcomes and factors influencing surgical outcomes.
Texto completo
- https://mjz.co.zm/index.php/mjz/article/view/1132/585
- https://indexmedicus.afro.who.int/iah/fulltext/Characteristics and Surgical Repair Outcomes of Obstetric Fistula Patients Managedata Teaching Hospital in Zambia: A Retrospective Cross-Sectional Study.pdf
- https://fi-admin.bvsalud.org/document/view/mjng9
Texto completo:
DisponíveL
Índice:
AIM (África)
Assunto principal:
Cesárea
/
Fístula Carótido-Cavernosa
Tipo de estudo:
Estudo observacional
/
Estudo de prevalência
/
Estudo prognóstico
/
Fatores de risco
Limite:
Humanos
Idioma:
Inglês
Revista:
Med. j. Zambia
Ano de publicação:
2022
Tipo de documento:
Artigo
Instituição/País de afiliação:
Department of Obstetrics and Gynaecology, Women and Newborn Hospital, University Teaching Hospitals/ZM
/
School of Medicine, University of Zambia/ZM
/
School of Public Health, University of Zambia/ZM
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