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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Obstetric fistula in low and middle income countries
Mount Sinai Journal of Medicine, Volume 78, No. 3, Year 2011
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Description
Vesicovaginal fistula secondary to obstructed labor continues to be an all-too-common occurrence in underdeveloped nations throughout Africa and Asia. Vesicovaginal fistula remains largely an overlooked problem in developing nations as it affects the most marginalized members of society: young, poor, illiterate women who live in remote areas. The formation of obstetric fistula is a result of complex interactions of social, biologic, and economic influences. The key underlying causes of fistula are the combination of a lack of functional emergency obstetric care, poverty, illiteracy, and low status of women. In order to prevent fistula, some strategies include creation of governmental policy aimed toward reducing maternal mortality/morbidity and increasing availability of skilled obstetric care, as well as attempts to increase awareness about its prevention and treatment among policymakers, service providers, and communities. Whereas prevention will require the widespread development of infrastructure within these developing countries, treatment of fistula is an act which can be done "in the now." Treatment and subsequent reintegration of fistula patients requires a team of specialists including surgeons, nurses, midwives, and social workers, which is largely unavailable in developing countries. However, there is increasing support for training of fistula surgeons through standardized programs as well as establishment of rehabilitation centers in many nations. The eradication of fistula is dependent upon building programs that target both prevention and treatment. © 2011 Mount Sinai School of Medicine.
Authors & Co-Authors
Capes, Tracy
United States, New York
Icahn School of Medicine at Mount Sinai
Ascher-Walsh, Charles J.
United States, New York
Icahn School of Medicine at Mount Sinai
Abdoulaye, Idrissa
Niger
National Hospital of Niamey
Brodman, Michael
United States, New York
Icahn School of Medicine at Mount Sinai
Statistics
Citations: 58
Authors: 4
Affiliations: 2
Identifiers
Doi:
10.1002/msj.20265
ISSN:
00272507
e-ISSN:
19317581
Research Areas
Disability
Health System And Policy
Maternal And Child Health
Participants Gender
Female