1. Dr. Swati Singh
Department of Obstetrics & Gynaecology
UDUTH
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OBSTETRIC FISTULA

2. OUTLINE OF PRESENTATION
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An Overview
Principles of fistula management
Treatment options
Post-operative care
Recto-vaginal fistula: features & management
Prevention
conclusion

3. Source: G. Lewis, WHO Press.
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Every minute, a woman dies in pregnancy or childbirth, and for every woman who dies, 20-30 others will survive but with morbidity, one of which is obstetric fistula
An Overview

4. An Overview
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Millions of girls and young women in resource-poor countries are living in shame and isolation, often abandoned by their husbands and excluded by their families and communities.
They usually live in abject poverty, shunned or blamed by society and, unable to earn money, many fall deeper into poverty and further despair.

5. An Overview
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The reason for this suffering is that these young girls or women are living with an obstetric fistula (OF) due to complications which arose during childbirth.
Their babies are also probably dead, which adds to their depression, pain and suffering.

6. Nigeria Program
Fistula Care supports six hospitals:
FaridatYakubu General Hospital, Zamfara State
MaryamAbacha Women and Childrens Hospital, Sokoto State
BirninKebbi Specialist Fistula Center, Kebbi State
Laure Fistula Center at Murtala Mohammed Specialist Hospital, Kano State
BabbarRuga Hospital, Katsina State
The South East VVF Center, Ebonyi State

7. RESULT OF FISTULA TREATMENT: The UNFPA Fistula fortnight - 2005
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• As part of the global Campaign to End Fistula
• 8. 2-week mass obstetric fistula treatment project,
• 9. reducing the backlog of untreated fistulas and raise awareness regarding obstetric fistulas and safe motherhood.