Abstract
A retrospective study of 155 pregnant patients with obstetric fistulae was conducted to determine the factors associated with improvement in the pregnancy outcome. The successful repair of the fistula was associated with a reduced abortion rate (4.0%), incidence of premature rupture of the membranes (1.3%) perinatal mortality (13.0%) as well as an increase in the mean fetal birthweight and reduced incidence of low birth (20.3%). Antenatal supervision of pregnancy increased the acceptance rate for elective cesarean section and was associated with early referral of cases to hospital during labor. The patients having their first pregnancies since the onset of their fistulae delayed longest in labor at home (15.6 h) hence had the highest perinatal mortality and rate of recurrence of obstetric fistula. Therefore the successful repair of the obstetric fistula together with an aggressive drive to improve antenatal supervision especially directed at the younger patients will improve acceptance of the policy of elective cesarean delivery and therefore the overall pregnancy outcome among these patients.
Published Version
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: International Journal of Gynecology & Obstetrics
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
