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Obstetric fistulae ...
Obstetric fistulae in southern Mozambique : incidence, obstetric characteristics and treatment
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- Mocumbi, Sibone (författare)
- Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning,Univ Eduardo Mondlane UEM, Fac Med, Dept Obstet & Gynaecol, Av Agostinho Neto 679, Maputo 1100, Mozambique.
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- Hanson, Claudia (författare)
- Karolinska Institutet
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- Högberg, Ulf, 1949- (författare)
- Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning
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- Boene, Helena (författare)
- CISM, Rua 12,Vila Manhica, Manhica 1121, Mozambique.
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- von Dadelszen, Peter (författare)
- Kings Coll London, Global Womens Hlth, London, England.
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- Bergström, Anna, 1983- (författare)
- Uppsala universitet,Internationell barnhälsa och nutrition,UCL, Inst Global Hlth, Gower St, London WC1E 6BT, England.
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- Munguambe, Khtia (författare)
- UEM, Fac Med, Dept Publ Hlth, Av Salvador Allende 702 R-C, Maputo, Mozambique.
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- Sevene, Esperanca (författare)
- UEM, Fac Med, Clin Pharmacol, Dept Physiol Sci, Av Salvador Allende 702 R-C, Maputo, Mozambique.
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(creator_code:org_t)
- 2017-11-10
- 2017
- Engelska.
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Ingår i: Reproductive Health. - : Springer Science and Business Media LLC. - 1742-4755. ; 14
- Relaterad länk:
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://reproductive...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
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- BACKGROUND: Obstetric fistula is one of the most devastating consequences of unmet needs in obstetric services. Systematic reviews suggest that the pooled incidence of fistulae in community-based studies is 0.09 per 1000 recently pregnant women; however, as facility delivery is increasing, for the most part, in Africa, incidence of fistula should decrease. Few population-based studies on fistulae have been undertaken in Sub-Saharan Africa, including Mozambique. This study aimed to estimate the incidence of obstetric fistulae in recently delivered mothers, and to describe the clinical characteristics and care, as well as the outcome, after surgical repair.METHODS: We selected women who had delivered up to 12 months before the start of the study (June, 1st 2016). They were part of a cohort of women of reproductive age (12-49 years), recruited from selected clusters in rural areas of Maputo and Gaza provinces, Southern Mozambique, who were participating in an intervention trial (the Community Level Interventions for Pre-eclampsia trial or CLIP trial). Case identification was completed by self-reported constant urine leakage and was confirmed by clinical assessment. Women who had confirmed obstetric fistulae were referred for surgical repair. Data were entered into a REDCap database and analysed using R software.RESULTS: Five women with obstetric fistulae were detected among 4358 interviewed, giving an incidence of 1.1 per 1000 recently pregnant women (95% CI 2.16-0.14). All but one had Caesarean section and all of the babies died. Four were stillborn, and one died very soon after birth. All of the patients identified and reached the primary health facility in reasonable time. Delays occurred in the care: in diagnosis of obstructed labour, and in the decision to refer to the secondary or third-level hospital. All but one of the women were referred to surgical repair and the fistulae successfully closed.CONCLUSION: This population-based study reports a high incidence of obstetric fistulae in an area with high numbers of facility births. Few first and second delays in reaching care, but many third delays in receiving care, were identified. This raises concerns for quality of care.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- Obstetric fistula
- Caesarean
- Incidence
- Population-based
- Sub-Saharan Africa
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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- Av författaren/redakt...
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Mocumbi, Sibone
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Hanson, Claudia
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Högberg, Ulf, 19 ...
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Boene, Helena
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von Dadelszen, P ...
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Bergström, Anna, ...
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Munguambe, Khtia
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Sevene, Esperanc ...
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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och Folkhälsovetensk ...
- Artiklar i publikationen
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Reproductive Hea ...
- Av lärosätet
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Uppsala universitet
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Karolinska Institutet