sociodemographic characteristics of women suffering from genital fistula
DESCRIPTION
Duration of Fistula (yr). n %. 125. 16. 22. 7.3. To study the sociodemographic characterististics of patients with genital fistulae. MCHC Unit I, PIMS, Islamabad, Pakistan. - PowerPoint PPT PresentationTRANSCRIPT
SOCIODEMOGRAPHIC CHARACTERISTICS OF WOMEN SUFFERING FROM GENITAL FISTULA
Mahmud. G, Bangash. K, Ahmad. RMother and Child Health Centre ,Unit 1 ,PIMS,
Islamabad .PakistanOBJECTIVETo study the sociodemographic characterististics of patients with genital fistulae.
INTRODUCTIONGenital fistulae is a highly disabling condition with
physical ,psychological and social implications1 .The commonest cause in developing countries is obstructed labor but iatrogenic fistulae from gynecological surgeries are on rise2 .
Low literacy rate, malnutrition, poverty ,lack of skilled birth attendant at primary level, difficult long distance travelling and women discrimination are major factors leading to fistulae formation in Pakistan.3
Absence of basic EmOC services at difficult terrain is also responsible for this morbidity.
PAKISTAN SCENARIO
More than five million women become pregnant each year and approximately 0.7million(15%) of the total experience acute and chronic obstetric complications
“UN CAMPAIGN TO END OBSTETRIC FISTULA”49 COUNTRIES
There is a chance that fistula may occur at the rate of 2 to 3/1000 pregnancies.
Estimated 10,000-11,000 fistula/year in Pakistan.
SETTINGSMCHC Unit I, PIMS, Islamabad, Pakistan
STUDY PERIOD 1st Jan 2006 -20 Dec 2011
METHODSSpecifically designed fistula cards containing all
sociodemographic characteristics were used to collect data on genital fistula .All these cards were filled at the time of discharge of patients .For the purpose of this study patients record were retrospectively reviewed and subsequently data transferred to excel and then studied.
n %
obstetric 180 60
iatrogenic 120 40
Urinary •77%(n=231)
faecal •23%(n=69)
DEMOGRAPHIC CHARACTERISTICS
No %Age (yrs)<19 9 320-45 225 75>45 66 22
DURATION OF MARRIAGE
1-19yrs184
61.33%
Primipara 10%(n=30)
Multipara 60%(n=180)
Grandmulti 30%(n=90)
Duration of Fistula (yr)
n %
<1yr1-56-15>16
125688522
41.622.628.37.3
Social backgroundVariables
%
Divorced 7
Separated 8
Sec.infertility 3
020406080
100120140 129
6347
12
49
CATCHMENT AREAS
Islamabad View PointKARAKORUM MOUNTAIN
Thar desert
Level of Education
uneducatedprimarysecondary
231 (77%)
56(19%)
13(4%)
PATIENT'S PROFESSION
N =300 %House wife
296 98.6
teacher 3 01Doctor 1 0.3
HUSBAND‘SPROFESSION
TREATED BY
CONCLUSIONImproving access to good quality obstetric care ,increasing awareness of safe motherhood, improving literacy rate and empowering women for their rights are required to prevent fistula formation.REFERENCES1. Integrated management pregnancy and childbirth WHO report on obstetric fistula,20052. Hafez M, Asif S, Hanif H, Profile and repair success of vesicovaginal fistula in Lahore CPSP 2005;15:142-44 3. Pakistan demographic health survey 2008.
ACKNOWLEDGMENT
Darawar fort
Results
Total Patients 300
We are grateful to Dr. Nasira Tasnim (Associate Professor) ,Dr. Arfa Tabbsum (Assistant Professors), Ms Athar Sayed (Coordinator Fistula Project) and all residents for their efforts in managing patients with fistula
Partners of Campaign
UNFPAPNFWHUSAID
Pakistan Demographic & Health Survey 2008