Observation of Demographic Factors, Labor Characteristics, and Outcomes in Vesicovaginal Fistula

Abstract

Introduction: Vesicovaginal fistula (VVF) is a significant public health issue, particularly in areas with inadequate access to quality emergency obstetric care. This study aimed to examine the demographic and obstetric factors associated with VVF in a specific population and to evaluate the outcomes of VVF surgery. Methods: This cross-sectional study was conducted at the Dhaka Medical College Fistula Centre from April to July 2013. From a total of 47 admissions, 27 patients were selected based on specific inclusion criteria. Data were collected on demographic factors, obstetric history, cause of VVF, and surgery-related characteristics. The primary outcome was the success or failure of VVF surgery. Result: The study included women with an average age of 33.78 years and an average height of 144.67 cm. Majority were classified as poor (66.67%). Most had primary education (62.96%) and were housewives (92.59%). Vaginal deliveries were most common (59.26%). Stillbirths accounted for the majority of outcomes (77.78%). Obstetrical causes were the primary reason for vesicovaginal fistula (VVF) (70.37%). Local repair was the most common mode of surgical repair (59.26%), and the majority of surgeries were successful (85.19%). Conclusion: The study highlights the significant burden of VVF among women of lower socioeconomic status and educational level. It underscores the need for improved surgical techniques and decision-making in obstetric and gynecological care, and the importance of access to quality obstetric care. Further research is needed to develop and implement effective strategies to prevent and treat VVF, particularly in resource-limited settings.