What is the basic cause of obstetric fistula?

What is the basic cause of obstetric fistula?

Overview. Obstetric fistula is one of the most serious and tragic childbirth injuries. A hole between the birth canal and bladder and/or rectum, it is caused by prolonged, obstructed labour without access to timely, high-quality medical treatment.

What happens in obstetric fistula?

Obstetric fistula is a medical condition in which a hole develops in the birth canal as a result of childbirth. This can be between the vagina and rectum, ureter, or bladder….

Obstetric fistula
Symptoms Incontinence of urine or feces
Complications Depression, infertility, social isolation
Usual onset Childbirth

What are the three types of obstetric fistula?

Different types of obstetric fistula

  • vesicovaginal fistula (VVF), between the bladder and vagina.
  • urethrovaginal fistula (UVF), between the urethra (bladder outlet) and vagina.
  • rectovaginal fistula (RVF), between the rectum and vagina.
  • ureterovaginal fistula, between the ureters (kidney tubes) and the vagina.

Can obstetric fistula cause death?

An obstetric fistula occurs when a mother has a prolonged, obstructed labor, but doesn’t have access to emergency medical care, such as a C-section. She often labors in excruciating pain for days. Tragically, her baby usually dies.

Is obstetric fistula a disability?

Obstetric fistula is a grave birth injury that, in the absence of surgical interventions, causes chronic physical and social disability, typically affecting poor women living in rural areas.

Where is obstetric fistula most common?

Obstetric fistula most commonly occurs in poor, rural areas of Africa and Asia where the women affected live in dirt-floor dwellings and lack access to running water and incontinence pads. Under these circumstances, a woman with fistula faces devastating physical and psychological consequences.

How does obstetric fistula occur?

Obstetric fistula (vesicovaginal or rectovaginal) occurs due to prolonged obstructed labor when the genital tract is compressed between the fetal head and the bony pelvis. Prolonged pressure may result in necrosis with subsequent vesicovaginal fistula formation, causing an uncontrollable pass of urine from the vagina.

When does an obstetric fistula occur in a woman?

Obstetric fistula, or vaginal fistula, is an abnormal communication between the vagina and either the bladder anteriorly or the lower digestive tract posteriorly. It is a complication of childbirth and occurs due to prolonged childbirth. When a woman has an obstructed labor and is not given help, the labor could last for up to even 5 to 7 days.

Is there any way to repair an obstetric fistula?

Reconstructive surgery can usually repair a fistula. Unfortunately, the women and girls affected by this injury often do not know that treatment is possible, cannot afford it or cannot reach the facilities where it is available. There is also a shortage of highly trained and skilled surgeons to perform the repairs.

How did obstetric fistula become eradicated in the world?

Even though obstructed labor occurs in approximately 5% of all child births worldwide, obstetric fistula has largely been eradicated in wealthy countries, thanks to the advent of the Cesarean section in the early 1900s. Today, fistula persists in low-income countries where women have limited access to emergency obstetric care.

How many women go without treatment for fistula?

A woman with fistula is too often rejected by her husband and pushed out of her village due to her foul smell. The Numbers are Staggering. For every woman that gets treatment, at least 50 go without. We know that one million women in this world suffer from untreated obstetric fistula.

How does an obstetric fistula affect the body?

An obstetric fistula affects the body by creating an abnormal opening in your birth canal that connects your vagina to your rectum and large intestine. The opening allows pus, feces, and gas to pass through your vagina. You may also experience pain and irritation inside your vulva and vagina.

What are the complications of obstetric fistula if untreated?

Complications that arise from untreated obstetric fistula Social impact of obstetric fistulas. Research shows that obstetric fistula affects women, both socially and psychologically. Physical and emotional abuse. In many African communities, a woman’s primary role is considered to be wife and a mother. Maternal Mental illness.

Can an obstetric fistula be prevented?

Obstetric fistula is preventable; it can largely be avoided by: timely access to obstetric care. Preventing and managing obstetric fistula contribute to the Sustainable Development Goal 3 of improving maternal health.