The Experience of Women with Obstetric Fistula following Corrective Surgery: A Qualitative Study in Benadir and Mudug Regions, Somalia.

IF 1.6 Q3 OBSTETRICS & GYNECOLOGY
Obstetrics and Gynecology International Pub Date : 2018-09-27 eCollection Date: 2018-01-01 DOI:10.1155/2018/5250843
Adam A Mohamed, Abiodun O Ilesanmi, M David Dairo
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引用次数: 18

Abstract

Obstetric fistula is a severe maternal morbidity which can have devastating consequences for a woman's life and is generally associated with poor obstetric services leading to prolonged obstructed labour. The predisposing factors and consequences of obstetric fistula differ from country to country and from community to community. The World Health Organization estimated that more than 2 million women in sub-Saharan Africa, Asia, the Arab region, Latin America, and the Caribbean are living with the fistula, and some 50,000 to 100,000 new cases develop annually with 30,000-90,000 new cases developing each year in Africa alone. This study aimed at describing and exploring the experiences of women living with obstetric fistulas following corrective surgery in Benadir and Mudug regions, Somalia. Women living with obstetric fistula who had surgical repairs at Daynile and GMC fistula centers and key informants were identified purposively. Twenty-one individual in-depth interviews among women with obstetric fistula and eight key informant interviews were conducted. Thematic analyses were used. Codes were identified, and those codes with similar connections were organized together as to form themes. Detailed reading and rereading of the transcribed interviews were employed in order to achieve and identify themes and categories. Themes, categories, and subcategories illustrating the experiences of women living with obstetric fistula emerged from the thematic analysis of individual in-depth and key informant interviews. These were challenges of living with OBF which include "wounds around genitalia, bad odour, incontinences of urine and feces, stigma, isolation, divorce, powerlessness, dependency, financial constraints, and loss of healthy years" and coping mechanisms which include "withdrawal from the community and improved personal hygiene." Women with obstetric fistula experience serious health and social consequences which prevents them fulfill social, family, and personal responsibilities. We recommend expansion of BEmONC services to underserved areas, capacity building for local OBF surgeons, and improved media campaign and birth preparedness at community levels.

矫正手术后产科瘘妇女的经验:索马里贝纳迪尔和穆杜格地区的定性研究。
产科瘘管病是一种严重的产妇疾病,可对妇女的生命造成毁灭性后果,通常与产科服务不良导致长期难产有关。产科瘘的诱发因素和后果因国家和社区而异。世界卫生组织估计,撒哈拉以南非洲、亚洲、阿拉伯区域、拉丁美洲和加勒比地区有200多万妇女患有瘘管病,每年新发病例约5万至10万例,仅非洲每年就有3万至9万例新发病例。本研究旨在描述和探讨索马里贝纳迪尔和穆杜格地区产科瘘患者在矫正手术后的生活经历。在Daynile和GMC瘘管中心进行手术修复的产科瘘妇女和关键举报人被有目的地确定。对患有产科瘘的妇女进行了21次个人深入访谈和8次关键信息提供者访谈。采用专题分析。代码被识别出来,那些具有相似联系的代码被组织在一起形成主题。为了确定和确定主题和类别,采用了详细阅读和重读采访记录的方法。说明产科瘘妇女经历的主题、类别和子类别来自对个人深入访谈和关键信息提供者的专题分析。这些是与OBF一起生活的挑战,包括"生殖器周围的伤口、难闻的气味、小便失禁、耻辱、孤立、离婚、无能为力、依赖、经济拮据和丧失健康年龄",以及应对机制,包括"退出社区和改善个人卫生"。患有产科瘘管病的妇女面临严重的健康和社会后果,使她们无法履行社会、家庭和个人责任。我们建议将BEmONC服务扩大到服务不足的地区,加强当地OBF外科医生的能力建设,并在社区层面加强媒体宣传和分娩准备。
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来源期刊
Obstetrics and Gynecology International
Obstetrics and Gynecology International OBSTETRICS & GYNECOLOGY-
CiteScore
3.60
自引率
0.00%
发文量
26
审稿时长
19 weeks
期刊介绍: Obstetrics and Gynecology International is a peer-reviewed, Open Access journal that aims to provide a forum for scientists and clinical professionals working in obstetrics and gynecology. The journal publishes original research articles, review articles, and clinical studies related to obstetrics, maternal-fetal medicine, general gynecology, gynecologic oncology, uro-gynecology, reproductive medicine and infertility, reproductive endocrinology, and sexual medicine.
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