| Obstetric fistula in low and middle income countries. | |
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MedLine Citation:
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PMID: 21598262 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Vesicovaginal fistula secondary to obstructed labor continues to be an all-too-common occurrence in underdeveloped nations throughout Africa and Asia. Vesicovaginal fistula remains largely an overlooked problem in developing nations as it affects the most marginalized members of society: young, poor, illiterate women who live in remote areas. The formation of obstetric fistula is a result of complex interactions of social, biologic, and economic influences. The key underlying causes of fistula are the combination of a lack of functional emergency obstetric care, poverty, illiteracy, and low status of women. In order to prevent fistula, some strategies include creation of governmental policy aimed toward reducing maternal mortality/morbidity and increasing availability of skilled obstetric care, as well as attempts to increase awareness about its prevention and treatment among policymakers, service providers, and communities. Whereas prevention will require the widespread development of infrastructure within these developing countries, treatment of fistula is an act which can be done "in the now." Treatment and subsequent reintegration of fistula patients requires a team of specialists including surgeons, nurses, midwives, and social workers, which is largely unavailable in developing countries. However, there is increasing support for training of fistula surgeons through standardized programs as well as establishment of rehabilitation centers in many nations. The eradication of fistula is dependent upon building programs that target both prevention and treatment. Mt Sinai J Med 78:352-361, 2011 © 2011 Mount Sinai School of Medicine. |
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Authors:
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Tracy Capes; Charles Ascher-Walsh; Idrissa Abdoulaye; Michael Brodman |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Mount Sinai journal of medicine, New York Volume: 78 ISSN: 1931-7581 ISO Abbreviation: Mt. Sinai J. Med. Publication Date: 2011 May |
Date Detail:
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Created Date: 2011-05-20 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0241032 Medline TA: Mt Sinai J Med Country: United States |
Other Details:
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Languages: eng Pagination: 352-61 Citation Subset: IM |
Copyright Information:
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© 2011 Mount Sinai School of Medicine. |
Affiliation:
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Department of Obstetrics, Gynecology and Reproductive Sciences, Mount Sinai School of Medicine, New York, NY. tracy.capes@mssm.edu. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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