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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Clinical procedures and practices used in the perioperative treatment of female genital fistula during a prospective cohort study
BMC Pregnancy and Childbirth, Volume 14, No. 1, Article 220, Year 2014
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Description
Background: Treatment and care for female genital fistula have become increasingly available over the last decade in countries across Africa and South Asia. Before the International Federation of Gynaecology and Obstetrics (FIGO) and partners published a global fistula training manual in 2011 there was no internationally recognized, standardized training curriculum, including perioperative care. The community of fistula care practitioners and advocates lacks data about the prevalence of various perioperative clinical procedures and practices and their potential programmatic implications are lacking.Methods: Data presented here are from a prospective cohort study conducted between September 2007 and September 2010 at 11 fistula repair facilities supported by Fistula Care in five countries. Clinical procedures and practices used in the routine perioperative management of over 1300 women are described.Results: More than two dozen clinical procedures and practices were tabulated. Some of them were commonly used at all sites (e.g., vaginal route of repair, 95.3% of cases); others were rare (e.g., flaps/grafts, 3.4%) or varied widely depending on site (e.g. for women with urinary fistula, the inter-quartile range for median duration of post-repair bladder catheterization was 14 to 29 days).Conclusions: These findings show a wide range of clinical procedures and practices with different program implications for safety, efficacy, and cost-effectiveness. The variability indicates the need for further research so as to strengthen the evidence base for fistula treatment in developing countries. © 2014 Ruminjo et al.; licensee BioMed Central Ltd.
Authors & Co-Authors
Ruminjo, Joseph K.
United States, New York
Engenderhealth
Frajzyngier, V.
United States, New York
Engenderhealth
Bashir Abdullahi, Muhammad
Nigeria
Faridat Yakubu Hospital
Asiimwe, Frank
Uganda, Kasese
Kagando Hospital
Barry, Thierno Hamidou
Guinea
Prefectoral Hospital of Kissidougou
Bello, A.
Nigeria, Sokoto
Maryam Abacha Hospital
Danladi, D.
Nigeria
Specialist Fistula Centre Birnin Kebbi
Oumarou Ganda, Sanda
Niger
Lamordé Hospital
Idris, S.
Niger
Maradi Hospital
Inoussa, M.
Uganda
Kitovu Mission Hospital
Lynch, M.
Bangladesh, Dhaka
Lamb Hospital
Mussell, F.
Bangladesh, Dhaka
Lamb Hospital
Chandra Podder, Dulal
Bangladesh
Kumudini Hospital
Wali, Abba
Nigeria, Sokoto
Maryam Abacha Hospital
Barone, Mark A.
United States, New York
Engenderhealth
Statistics
Citations: 22
Authors: 15
Affiliations: 11
Identifiers
Doi:
10.1186/1471-2393-14-220
e-ISSN:
14712393
Research Areas
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Cohort Study
Study Approach
Quantitative
Participants Gender
Female