SOCIODEMOGRAPHIC CHARACTERISTICS OF WOMEN SUFFERING FROM GENITAL FISTULA

Mahmud. G, Bangash. K, Ahmad. RMother and Child Health Centre ,Unit 1 ,PIMS,

Islamabad .PakistanOBJECTIVETo study the sociodemographic characterististics of patients with genital fistulae.

INTRODUCTIONGenital fistulae is a highly disabling condition with

physical ,psychological and social implications1 .The commonest cause in developing countries is obstructed labor but iatrogenic fistulae from gynecological surgeries are on rise2 .

Low literacy rate, malnutrition, poverty ,lack of skilled birth attendant at primary level, difficult long distance travelling and women discrimination are major factors leading to fistulae formation in Pakistan.3

Absence of basic EmOC services at difficult terrain is also responsible for this morbidity.

PAKISTAN SCENARIO

More than five million women become pregnant each year and approximately 0.7million(15%) of the total experience acute and chronic obstetric complications

“UN CAMPAIGN TO END OBSTETRIC FISTULA”49 COUNTRIES

There is a chance that fistula may occur at the rate of 2 to 3/1000 pregnancies.

Estimated 10,000-11,000 fistula/year in Pakistan.

SETTINGSMCHC Unit I, PIMS, Islamabad, Pakistan

STUDY PERIOD 1st Jan 2006 -20 Dec 2011

METHODSSpecifically designed fistula cards containing all

sociodemographic characteristics were used to collect data on genital fistula .All these cards were filled at the time of discharge of patients .For the purpose of this study patients record were retrospectively reviewed and subsequently data transferred to excel and then studied.

n %

obstetric 180 60

iatrogenic 120 40

Urinary •77%(n=231)

faecal •23%(n=69)

DEMOGRAPHIC CHARACTERISTICS

No %Age (yrs)<19 9 320-45 225 75>45 66 22

DURATION OF MARRIAGE

1-19yrs184

61.33%

Primipara 10%(n=30)

Multipara 60%(n=180)

Grandmulti 30%(n=90)

Duration of Fistula (yr)

n %

<1yr1-56-15>16

125688522

41.622.628.37.3

Social backgroundVariables

%

Divorced 7

Separated 8

Sec.infertility 3

020406080

100120140 129

6347

12

49

CATCHMENT AREAS

Islamabad View PointKARAKORUM MOUNTAIN

Thar desert

Level of Education

uneducatedprimarysecondary

231 (77%)

56(19%)

13(4%)

PATIENT'S PROFESSION

N =300 %House wife

296 98.6

teacher 3 01Doctor 1 0.3

HUSBAND‘SPROFESSION

TREATED BY

CONCLUSIONImproving access to good quality obstetric care ,increasing awareness of safe motherhood, improving literacy rate and empowering women for their rights are required to prevent fistula formation.REFERENCES1. Integrated management pregnancy and childbirth WHO report on obstetric fistula,20052. Hafez M, Asif S, Hanif H, Profile and repair success of vesicovaginal fistula in Lahore CPSP 2005;15:142-44 3. Pakistan demographic health survey 2008.

ACKNOWLEDGMENT

Darawar fort

Results

Total Patients 300

We are grateful to Dr. Nasira Tasnim (Associate Professor) ,Dr. Arfa Tabbsum (Assistant Professors), Ms Athar Sayed (Coordinator Fistula Project) and all residents for their efforts in managing patients with fistula

Partners of Campaign

UNFPAPNFWHUSAID

Pakistan Demographic & Health Survey 2008