Reproductive, female and child health最新文献

{"title":"Economic and health‐related quality of life impacts of receiving recurrent miscarriage care in Ireland: Exploratory analysis drawing on results from a national care experience survey","authors":"Caragh Flannery, Lee‐Ann Burke, Paddy Gillespie, M. Hennessy, Hannah O'Leary, R. Dennehy, K. O'Donoghue","doi":"10.1002/rfc2.105","DOIUrl":"https://doi.org/10.1002/rfc2.105","url":null,"abstract":"Undergoing miscarriage is a significant life event and having recurrent miscarriage (RM) can magnify psychological effects, including anxiety and depression, following a miscarriage. There is limited published evidence on impacts of RM on employment, personal finances, quality of life and use of health care services.This study examines the impact on quality of life, work experiences and personal finances of people receiving RM care.We conducted a cross‐sectional study using an anonymous national survey of people who experienced ≥2 consecutive first‐trimester miscarriages and received care for RM in Ireland in a 10‐year period. Questions encompassed sociodemographic information, details of RM care and workplace presenteeism (SPS‐6), health‐related quality of life (HRQOL) (SF‐12), healthcare utilisation and out‐of‐pocket expenses.Of the 135 participants included in analysis, 79% were aged 33–44 years. Participants scored low on the SF‐12 mental component (38.7), with 50% well below population norm. Participants needed time off work for investigations (66%), receiving results (62%), early reassurance scans (77%) and attending support services (18%). Participants spent, on average, 82 h off work attending RM care appointments. 70% experienced decreased productivity at work. Participants travelled 36.54 km, on average, attending RM care appointments, costing on average €372/participant for transport, parking and fuel. Other out‐of‐pocket expenses included further investigations, scans and services: total cost averaged €7930 per participant, plus costs for care of children/dependents while attending appointments of €245/participant.Implementing care standards, clinical guidelines and interventions supporting women/couples with RM, with appropriate funding, is needed to mitigate psycho‐social impacts and prevent high patient costs.","PeriodicalId":74669,"journal":{"name":"Reproductive, female and child health","volume":"43 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141808270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trial of labour after caesarean section in Sub‐Saharan Africa: A systematic review and meta‐analysis","authors":"A. Boatin, Paola D. Cueto, D. Garba, Michala Sawyer, Kaitlyn James, Joseph Ngonzi, H. Lugobe, B. Wylie, K. Adu‐Bonsaffoh","doi":"10.1002/rfc2.104","DOIUrl":"https://doi.org/10.1002/rfc2.104","url":null,"abstract":"The objective of this study is to determine the proportion of women undergoing trial of labour after caesarean (TOLAC) and vaginal birth after caesarean (VBAC) in Sub‐Saharan Africa (SSA), and to estimate associated adverse events.We searched PubMed, MEDLINE, CAB, EMBASE and African‐specific databases from 1966 to July 2023, including SSA studies reporting on women with previous caesarean section (CS). We extracted data on study design, planned (TOLAC versus elective repeat CS (ERCS)) and actual delivery mode, and adverse outcomes. We calculated mean TOLAC and VBAC proportions, and pooled proportion of adverse events, comparing between TOLAC and ERCS where available. We assessed bias using the methodological index for nonrandomized studies.From 62 studies with 36 611 births, the estimated proportion undergoing TOLAC and achieving VBAC, adjusted for study variability, were 79% (95% confidence interval [95% CI]: 74%, 85%) and 47% (95% CI: 42%, 51%), respectively, for all births. Mean estimated uterine rupture proportion and maternal mortality were 2.1% (95% CI: 1.1%, 3.2%) and 0.1% (95% CI: 0.02%, 0.2%) respectively. We found no differences between TOLAC and ERCS for uterine rupture (1.2% vs. 0.2%, pooled odds ratio [OR]: 1.54; 95% CI: 0.63, 3.8) or maternal mortality (0.3% vs. <0.1%, pooled OR: 0.77; 95% CI: 0.30, 2.0), respectively. However perinatal mortality was higher with TOLAC compared to ERCS (5% vs. 1%; pooled OR: 3.3; 95% CI: 1.5, 6.9).We found high proportions of women undergoing TOLAC and moderate proportions of successful VBAC across SSA, with a higher perinatal mortality associated with TOLAC. Few studies reported on adverse outcomes and used inconsistent definitions. Further research is needed to understand outcomes in this population of women in these settings.The study protocol was registered with PROSPERO (CRD42020175434).","PeriodicalId":74669,"journal":{"name":"Reproductive, female and child health","volume":"77 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141810326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breastfeeding mothers' awareness and experience of using the breastfeeding memory aide CHINS: An exploratory descriptive qualitative study","authors":"Lynette Shotton, Tracy Collins","doi":"10.1002/rfc2.108","DOIUrl":"https://doi.org/10.1002/rfc2.108","url":null,"abstract":"Breastfeeding has immediate and long‐term benefits for both mother and child, but many mothers feel unprepared for the challenges of early breastfeeding. The first letter mnemonic, close, head free, nose to nipllie, in‐line, sustainable (CHINS) was developed as a tool to help practitioners remember retain and recall the principles of positioning for effective breastfeeding and a UK‐wide evaluation shows it is used widely within the UK breastfeeding workforce. This study sought to understand the extent to which breastfeeding mothers were aware of CHINS and their experience of using it to support their breastfeeding.An exploratory qualitative research design was used to describe and interpret the findings of individual interviews with 11 breastfeeding mothers from across the United Kingdom who were recruited via a digital flier shared via social media and breastfeeding networks. The interviews were analysed thematically.Awareness and perception of CHINS, Timing of introduction to CHINS, and Sharing CHINS were the key themes to emerge, with an overarching core theme—The Right Advice at the Right Time. All the participants in the study were aware of CHINS and found it particularly helpful during the early stages of breastfeeding. Some participants reported that others, including fathers and peers, were aware of CHINS and had used it to support breastfeeding mothers. The participants felt support for breastfeeding was variable and that it was important to ensure that the right advice was given at the right time.This study included a small number of breastfeeding mothers from across the United Kingdom and whilst there were high levels of awareness and perceived value of CHINS, a larger study would be warranted to explore the value of CHINS in more depth as well as to understand the role of CHINS in the wider education of peers and significant others, including fathers.","PeriodicalId":74669,"journal":{"name":"Reproductive, female and child health","volume":"117 47","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141811895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oedematous malnutrition among admitted low birth weight neonates receiving parenteral feeding in selected hospitals in Ethiopia","authors":"Esuyawkal Mislu, Abraraw Terefe","doi":"10.1002/rfc2.106","DOIUrl":"https://doi.org/10.1002/rfc2.106","url":null,"abstract":"Oedematous malnutrition is a severe form of malnutrition characterized by generalized swelling, fluid retention and nutritional deficiencies, which affects preterm and low‐birth‐weight (LBW) infants significantly. However, there is limited data among LBW neonates in low‐income countries.To identify the prevalence and factors associated with oedematous malnutrition among LBW neonates receiving parenteral feeding in the neonatal intensive care unit (NICU) of public hospitals in Addis Ababa City.An institution‐based cross‐sectional study was conducted from March to June 2022. A multistage sampling technique was utilized to select samples, and a pretested questionnaire and checklist were used to collect the data. Bi‐variable and multivariable logistic regression were done to identify factors associated with oedematous malnutrition. Statistical significance was declared at a p‐value less than 0.05.Two hundred eighty‐nine LBW neonates receiving parenteral feeding were evaluated for oedematous malnutrition, of which 27 (9.34%) neonates developed it. Gestational age less than 32 weeks (adjusted odd ratios [AOR]: 6.74 95% CI: 1.456−31.27) and above 37 weeks (AOR: 12.36 95% CI: 1.44−105.69), thrombocytopenia (AOR: 4.208 95% CI: 1.12−15.78), receiving parenteral feeding for 7−14 days (AOR: 8.61 95% CI: 1.33−55.52) and more than 14 days (AOR: 21.10 95% CI: 2.89−153.94) were significantly associated with oedematous malnutrition.This study identified that a significant number of neonates developed oedematous malnutrition, and gestational age, thrombocytopenia and length of admission had a significant association with oedematous malnutrition among LBW neonates. It is crucial to reevaluate the quality of care in the NICU and implement an improvement project to decrease the length of parenteral feedings.","PeriodicalId":74669,"journal":{"name":"Reproductive, female and child health","volume":"63 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141810561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of child marriage on nutritional status among their under‐five children in Bangladesh: Evidence from Bangladesh Demographic and Health Survey data 2011, 2014 and 2017–18","authors":"Murad Alam Khan, Md Ahshanul Haque, M. Tariqujjaman, M. Sarmin, Tahmeed Ahmed, M. Mahfuz","doi":"10.1002/rfc2.102","DOIUrl":"https://doi.org/10.1002/rfc2.102","url":null,"abstract":"Child marriage remains a significant concern in Bangladesh, where 38 million girls are married before reaching the age of 18. Child marriage contributes adversely to the health and nutritional status of their offspring. The current analysis investigated the association between maternal child marriage and nutritional outcomes including stunting, wasting and underweight of their under‐five children.This study analyzed data from the Bangladesh Demographic and Health Surveys (BDHS) conducted in 2011, 2014 and 2017–2018. The researchers used descriptive statistics and multiple logistic regression analyses, controlling for potential socioeconomic and demographic variables, and adjusted the sample weight in all analyses using Stata.The analyses included pooled data of 25 323 ever‐married women and their under‐five children. Results showed that 73% of women were married before the age of 18. Children born to mothers married as children themselves were 19% more likely to be stunted and 13% was underweight but wasting wasn't directly linked to maternal child marriage. Adjusted analysis showed that child marriage was significantly associated with stunting [adjusted odds ratio (aOR): 1.19; 95% confidence interval (CI): 1.08, 1.33], underweight (aOR: 1.13; 95% CI: 1.01, 1.26), wasting (aOR: 1.05; 95% CI: 0.97, 1.13).This study observed a high prevalence of child marriage. Maternal child marriage was significantly associated with stunting, and underweight of their under‐five children. Mechanisms underlying these associations need to be explored to develop effective interventions to address these issues.","PeriodicalId":74669,"journal":{"name":"Reproductive, female and child health","volume":"36 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141650277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevention and home‐based management of childhood diarrhoea in an urban informal settlement in Northern Ghana; a cross‐sectional study of maternal knowledge, attitude and practices","authors":"E. K. Vicar, Williams Walana, Mildred G. O. Marfo, George K. Darko, Majeed S. Folorunsho, Emmanuel K. Osabutey, Mauvina Obeng-Bempong, Kwame Opare-Asamoah","doi":"10.1002/rfc2.101","DOIUrl":"https://doi.org/10.1002/rfc2.101","url":null,"abstract":"The burden of diarrhoea morbidity and mortality among children under 5 years is higher in developing countries than in developed regions. Residents of informal settlements in many developing lower‐and‐middle‐income countries (LMICs) have a relatively high prevalence of diarrhoea and diarrhoea‐related diseases. Mothers are the burden bearers during children's diarrhoea episodes. Therefore, maternal knowledge and management skills are important to minimise the effects of morbidity and mortality associated with diarrhoeal diseases.This cross‐sectional study was conducted among mothers residing in an informal settlement to assess their knowledge of diarrhoea prevention and home‐based management practices. An interviewer‐based questionnaire was used to gather information, imported into Microsoft Excel (Microsoft) and exported to STATA software version 13.1 (Stata) for data analysis. We performed descriptive multivariable analysis to find out participants knowledge of diarrhoea prevention and home‐based management practices and associated factors.A total of 428 participants participated in this study, with the majority, 6 64.5% (276/428) having good knowledge of prevention and home‐based management of diarrhoea among children under 5 years. Multivariable logistic regression analysis, participants who were multiparous and completed tertiary were 4.01 [confidence interval (CI) = 3.23–7.15; p = <0.0001] and 2.02 (CI = 2.16–4.91; p = 0.005) times likely to have good knowledge. Participants who had attained tertiary education and earned monthly income above Gh¢ 4000 were 7.21 (CI = 5.24–16.5; p < 0.0001) and 12.4 (CI = 4.80–33.3; p < 0.0001) likely to have good practice of prevention and home‐based management of diarrhoea among children under 5 years.These findings may serve as a basis for developing specific interventions to enhance good knowledge and good practice regarding home‐based management of diarrhoea among children under five. Practitioners can provide targeted education, empower mothers to implement proper preventive measures and timely interventions thereby reducing the impact and severity of diarrhoeal episodes in children under 5 years in urban informal settlements.","PeriodicalId":74669,"journal":{"name":"Reproductive, female and child health","volume":"124 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141666414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A novel therapy for spontaneous previable amniotic fluid leak by using intra‐amniotic platelet rich fibrin and plasma: A case report","authors":"Sowmya H. Rajashekar, Seema S. J., Swathi H. K., Prabhu C. Mishra, Praveen N. Somaiya, Yogitha M. Rao","doi":"10.1002/rfc2.98","DOIUrl":"https://doi.org/10.1002/rfc2.98","url":null,"abstract":"Previable premature rupture of membrane (PV‐PROM) is a complex clinical situation posing considerable risks to the foetus. There is an extreme paucity of management options and clear guidelines in the literature for this dismal situation. This is the first report on usage of a novel combination of cellular therapeutic agents in a case of PROM. This study reports the earliest gestational age at which a case of spontaneous PV‐PROM (sPV‐PROM) has been successfully dealt by active management and, the longest period of continuation of pregnancy in a singleton sPV‐PROM for a total of 149 days.To study the benefit of Intraamniotic Injection of PRF and PRP (IFPRP) in an index case of PV‐PROM.This is a case report of a 26‐year‐old woman with a recurrent, sPV‐PROM at 14 weeks 2 days with a previous pregnancy loss due to PV‐PROM at 18 weeks managed in a private reproductive health hospital in Mysore, India.Our subject underwent an elective cervical stitch at 14 weeks. She had confirmed, repeated episodes of leak after 30 h of the procedure. Apart from aggressive management to control infection with vaginal asepsis, an Intraamniotic injection of 9 mL of autologous PRF and 4.5 mL of PRP was done under ultrasound guidance. The pregnancy was monitored closely for signs of infection and foetal wellbeing.The amniotic fluid leak stopped immediately after IFPRP for 36 h. After two more bouts of small leak, it stopped completely. She delivered a healthy baby of 3.4 kg at 35 weeks 4 days. The mother and baby did well postnatally.Our protocol for fixing the leak is simple, easy to use, and can be done in resource‐poor settings which we consider is a big advantage. Further studies are needed to explore its potential in treating PROM.","PeriodicalId":74669,"journal":{"name":"Reproductive, female and child health","volume":"29 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141664844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is gravidity associated with COVID‐19 vaccination among pregnant women in Jamaica?","authors":"J. Pinkney, Laura M Bogart, K. Carroll, Lenroy Bryan, Givana Witter, Dina Ashour, Susanne S. Hoeppner, Rocio M Hurtado, Ilona T Goldfarb, Christina Psaros, Emily P. Hyle, B. Ojikutu","doi":"10.1002/rfc2.100","DOIUrl":"https://doi.org/10.1002/rfc2.100","url":null,"abstract":"In 2021, Jamaica's maternal mortality ratio doubled as a result of COVID‐19‐related deaths. Yet, COVID‐19 vaccination among pregnant Jamaican women remained low. In the United States, COVID‐19 vaccination is lower among pregnant women who have had multiple pregnancies (multigravidas) versus women who were pregnant for the first time (primigravidas). We examined whether this pattern exists in Jamaica.A cross‐sectional survey of a convenience sample of 79 pregnant Jamaican women recruited from a teaching hospital (May–July 2022) was used to assess self‐reported COVID‐19 vaccination and medical mistrust beliefs—operationalized as low vaccine confidence, government mistrust, and race‐based mistrust—by gravidity. We used modified Poisson regression to estimate adjusted prevalence ratios (aPR) and 95% confidence intervals (CI) for vaccination by gravidity, adjusting for age, education, and comorbidities.Thirty‐nine (49%) of the participants were multigravidas. Socioeconomic status was similar between multigravidas and primigravidas. COVID‐19 vaccination was lower in multigravidas (46%) than primigravidas (75%) after adjusting for age, education, and comorbidities (aPR = 0.67, 95% CI = 0.46–0.99; p = 0.044). Vaccine confidence was lower in multigravidas (p = 0.044). Government mistrust and race‐based mistrust did not differ between the two groups.In Jamaica, multigravidas may have lower COVID‐19 vaccine uptake and lower vaccine confidence compared with primigravidas. Understanding the distinct needs of pregnant subpopulations is essential for crafting effective maternal vaccination campaigns.","PeriodicalId":74669,"journal":{"name":"Reproductive, female and child health","volume":" 45","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141678357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of aspirin for prevention of preeclampsia in twin pregnancy: A meta‐analysis","authors":"Rowan H. Elhalag, Pensée Chébl, Marwan Abowafia, M. Mohamed, Momen Hassan Moussa, Paula Ghali, Abdelrhaman M. Abdelwahab, Shadi Alboji, Youmna Abourady, Jaffer Shah, Karam R. Motawea","doi":"10.1002/rfc2.97","DOIUrl":"https://doi.org/10.1002/rfc2.97","url":null,"abstract":"Aspirin has been proven to be effective in preventing preeclampsia (PE) in singleton pregnancies. However, the use of aspirin for women with twin pregnancies is still debatable. The purpose of our meta‐analysis is to evaluate the effectiveness of aspirin for preventing preeclampsia in twin pregnancies.We searched the following databases: PubMed, Scopus, Cochrane Library and Web of Science. Twelve studies were included in the meta‐analysis. The quality assessment and ROB were executed using NOS and ROB 2 respectively. RevMan software 5.4 was used for performing the analysis.The pooled analysis showed no significant difference between the administration of aspirin and the control group in decreased incidence of PE, hypertensive disorders, IUGR or twin‐to‐twin discordance (RR = 0.73, CI = 0.43–1.24, p = 0.24), (RR = 0.60, CI = 0.34–1.07, p = 0.08), (RR = 0.90, CI = 0.45–1.82, p = 0.77) and (RR = 1.76, CI = 0.83–3.73, p = 0.14), respectively. However, the pooled analysis showed a statistically significant association between aspirin and decreased incidence of preterm birth (PTB) (RR = 0.58, CI = 0.39–0.86, p = 0.006). Subgroup analysis of the dose revealed a significant association between 100 mg of aspirin and decreased PE incidence compared with the control group (RR = 0.44, CI = 0.23–0.84, p = 0.01).The overall analysis showed no significant role of Aspirin in reducing the incidence of PE. The dose subgroup analysis revealed that only 100 mg of Aspirin is effective in decreasing PE. Future multicentre randomized control trials are warranted to give us conclusive results.","PeriodicalId":74669,"journal":{"name":"Reproductive, female and child health","volume":"26 66","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141699775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chronic schistosomiasis infection and obstetric fistula repair outcomes in Lubango, Angola: A retrospective chart review","authors":"Esther A. Chin, Annelise Olson, Stephen Foster, Steven Arrowsmith, Andrew Browning","doi":"10.1002/rfc2.83","DOIUrl":"https://doi.org/10.1002/rfc2.83","url":null,"abstract":"To assess the association between chronic schistosomiasis infection, determined by bladder biopsies, and vesicovaginal (VVF) repair outcomes at an urban hospital in Angola. Other objectives were to quantify the prevalence of chronic schistosomiasis among patients with VVF and to assess agreement between pelvic X‐rays and bladder biopsies for chronic schistosomiasis diagnosis.In this retrospective chart review, data were collected on patients who underwent VVF repair between 1 June 2022 and 30 November 2022 including: age, number of previous fistula repairs, Goh classification of fistula, X‐ray and biopsy results, fistula repair outcome, perioperative complications and postoperative incontinence. Age and number of previous repairs were described using means with standard deviations. Goh classification, X‐ray and biopsy results, fistula repair outcome, perioperative complications, and postoperative incontinence were described using frequencies. Parametric and nonparametric tests and Cohen's κ were calculated using R software and Excel.Of the 76 charts retrieved, 60 met inclusion criteria. The overall fistula repair failure rate was 26.7% (n = 16). There was no difference in the fistula repair failure rate between those with (26.9%) and without (26.5%) evidence of chronic schistosomiasis infection (χ2 = 2.33 e‐31, 95% confidence interval [CI]: −0.30, 0.28). The prevalence of chronic schistosomiasis was 43.3%. There was no agreement between X‐ray and biopsy in diagnosing chronic schistosomiasis infection (Cohen's κ = 0.23, 95% CI: −0.001, 0.47).There was no difference in the chance of fistula repair failure between those with evidence of chronic schistosomiasis infection and those without.","PeriodicalId":74669,"journal":{"name":"Reproductive, female and child health","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141279558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}