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Abstract
Kaplan-Meier estimation method, Cox proportional hazard model and parametric regression model were applied. The Cox proportional hazard analysis indicated that older ages at first marriage, weight 150 cm, follow up of antenatal care, delivery at health center, duration of labour for 150 cm (Adjusted HR=1.00), follow up of antenatal care (adjusted HR=0.263), delivery at health center (adjusted HR=1.00), duration of labour (adjusted HR=0.127 for <2 day), vaginal delivery (adjusted HR=0.241), length of fistula (adjusted HR=0.342 for <2 cm, HR=0.426 for 3-5 cm), width of fistula (adjusted HR=0.147 for <2 cm, HR=0.356 for 3-5 cm) and intact of urethra (adjusted HR=0.439) significantly contribute to a shorter recovery time of a patient. In conclusions: The finding of this study showed that age at first marriage, height, antenatal care, weight, place of delivery, mode of delivery, duration of labour, length and width of fistula, and status of urethra were major factors affecting recovery time of obstetric fistula patient at Yirgalem Hamlin Fistula Hospital. It is recommended to make interventions based on these risk factors.
Highlights
Obstetric Fistula is a medical condition that involves an opening or perforation between the vagina and the bladder or the vagina and the rectum
Comparing the survivor functions between follow up of antenatal care and no follow up of antenatal care of obstetric fistula patients, patient who have follow up of antenatal care had slightly shorter recovery time compared with patient who have no follow up of antenatal care service (Table 1, log-rank and Breslow tests shows P
The hazard rate for being physically cured of obstetric fistula patient with intact urethra were 0.544 times the hazard of those urethra complete destructed, this implies the recovery time of patient with intact of urethra was 45.6% lower when we compared with complete destructed of urethra
Summary
Obstetric Fistula is a medical condition that involves an opening or perforation between the vagina and the bladder or the vagina and the rectum. Even though there might be minor inter-country differences, the complication is mainly due to adolescent pregnancy from early marriage exacerbated by lack of access to emergency obstetric care [1,2]. Obstetric fistula victims are thought to come mainly from rural areas where no proper education on maternal health and related reproductive rights that could halt early marriage is available. As young women and girls are denied their reproductive rights, they are forced un-willingly into sexual relations that routinely lead to unwanted pregnancy and mostly obstetric fistula [3]. Ethiopia is one of the developing country with, poor maternal health care that leads over 100,000 girls and women living with a fistula, and further 9000 cases develop annually (WHO, 2006). The maternal mortality ratio estimated for Ethiopia is 673 per 100,000 live births [4]
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