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Créée le : 29 Apr 2004
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Notice bibliographique (sans auteurs) :

The obstetric vesicovaginal fistula: Characteristics of 899 patients from Jos, Nigeria. American Journal of Obstetrics and Gynecology 2004;190(4):1011-1016.

Auteur·e(s) :

Wall LL, Karshima JA, Kirschner C, Arrowsmith SD.

Année de publication :

2004

URL(s) :

http://www.sciencedirect.com/science/article/B6W9P…

Résumé (français)  :

Abstract (English)  :

Objective

The purpose of this study was to describe the characteristics of women with obstetric vesicovaginal fistulas at a hospital in north central Nigeria.
Study design

A retrospective record review was conducted of all women who were seen with vesicovaginal fistulas at Evangel Hospital in Jos, Plateau State, Nigeria, between January 1992 and June 1999.
Results

A total of 932 fistula cases were identified, of which 899 cases (96.5%) were associated temporally with labor and delivery. The “typical patient“ was small and short (44 kg and <150 cm); had been married early (15.5 years) but was now divorced or separated; was uneducated, poor, and from a rural area; had developed her fistula as a primigravida during a labor that lasted at least 2 days and which resulted in a stillborn fetus.
Conclusion

Obstetric vesicovaginal fistula is extremely common in north central Nigeria. A complex interaction that involves multiple biologic and socioeconomic factors appears to predispose young women to this devastating childbirth injury.

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Mots-clés :

➡ déchirures ; fistule ; mort-né

Auteur·e de cette fiche :

Cécile Loup — 29 Apr 2004