Abstract:
Background obstetric fistula is an injury that occurs during prolonged and
obstructed labor causing tissue damage to organs inside the pelvis and result
in urine and Fecal incontinence or both. It remains a major public health
problem in areas where unattended obstructed labor is common.
Objective: the main purpose of this study was to assess obstetric fistula and
its contributing factors among women admitted to JUSH, Genecology ward.
Methods: Across sectional facility based descriptive study was concluded from
February 1to April 30-2013 to assess obstetric fistula and its contributing
factors among women admitted to JHSTH, Gynecology ward. The sampling
technique was convenient sampling technique in which all mothers admitted to
fistula unit during study period was included. Data was collected using
pretested properly structured questionnaires by 3 trained data collectors and
data was analyzed using electronic calculator.
Result: The total of 62 women were admitted to JUSTH gynecology ward
fromFeb-Apr.2013.Out of the total respondent 56(90.32%) were developed VVF,
14(22.25%) were developed RVF and2 (3.2%)were developed RVVF.majority of
the respondents were from the rural area and50% were in age group 20-
24.66.12%of the respondents had no regular ANC follow-up. Among the
respondents 87.09% were primparous. About 56.45% of the case were caused
by obstructed labor and 22.58% were caused prolonged labor.
Conclusion and recommendation
Generally prevention is better than cure .preventing and managing fistula will
contribute to achieving improving maternal and child health.