S Ahmed1, S A Holtz. 1. Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland 21205, USA. sahmed@jhsph.edu
Abstract
OBJECTIVES: To summarize the social, economic, emotional, and psychological consequences incurred by women with obstetric fistula; present the results of a meta-analysis for 2 major consequences, divorce/separation and perinatal loss; and report on improvements in health and self-esteem and on the possibility of social reintegration following successful fistula repair. METHODS: We conducted a review of the literature published between 1985 and 2005 on fistula in developing countries. We then performed a meta-analysis for 2 of the major consequences of having a fistula, divorce/separation and perinatal child loss. RESULTS: Studies suggest that surgical treatment usually closes the fistula and improves the physical and mental health of affected women. CONCLUSION: With additional social support and counseling, women may be able to successfully reintegrate socially following fistula repair.
OBJECTIVES: To summarize the social, economic, emotional, and psychological consequences incurred by women with obstetric fistula; present the results of a meta-analysis for 2 major consequences, divorce/separation and perinatal loss; and report on improvements in health and self-esteem and on the possibility of social reintegration following successful fistula repair. METHODS: We conducted a review of the literature published between 1985 and 2005 on fistula in developing countries. We then performed a meta-analysis for 2 of the major consequences of having a fistula, divorce/separation and perinatal child loss. RESULTS: Studies suggest that surgical treatment usually closes the fistula and improves the physical and mental health of affected women. CONCLUSION: With additional social support and counseling, women may be able to successfully reintegrate socially following fistula repair.
Authors: Alison M El Ayadi; Justus K Barageine; Suellen Miller; Josaphat Byamugisha; Hadija Nalubwama; Susan Obore; Abner Korn; Smrithi Sukumar; Othman Kakaire; Haruna Mwanje; Felicia Lester; Janet M Turan Journal: Cult Health Sex Date: 2019-04-30