RESUMO
Rectovaginal fistulae after sexual intercourse are rare. We report a healthy recently married 21-year-old woman who presented to the Jordan Healthcare Centre, Amman, Jordan in 2014 with a five-week history of passing flatus and stool from the vagina. Six weeks prior, she had sustained a rectovaginal injury during initial consensual sexual intercourse, leading to the development of a distal rectovaginal fistula. A successful transvaginal repair was performed nine weeks after presentation which resulted in the complete resolution of her symptoms
RESUMO
Objective: To determine which socio-demographic factors influence the inter-conception interval in southern Jordan
Methods: A cross sectional study on a sample of 307 Jordanian women was performed. All women were interviewed using several questionnaires providing information on the socio-demographic characteristics, obstetric history and other health related data. Anthropometric measurements as well as blood pressure were conducted on each case
Results: The low standard of education and occupation of the husband and spouse, low monthly family income, an increased family size, and extended family type were all significantly associated with short inter-conception interval. Attending health education programs on different aspects of maternal and child health care, using proper family planning method and breast feeding were significantly associated with increased length of inter-conception interval
Conclusions: Repeated pregnancies at short intervals are common in the southern region of Jordan, and short inter-conception interval is a multi-dimension problem. Among the suggested methods to prolong inter-conception interval include; increasing the literacy and employment rates of parents to upgrade their economic status, an in-depth health education and social mobilizations in various agencies are still needed to maximize the use of contraception methods, and improving the standards of exclusive breast-feeding practice