Multicentric Study of 148 New Cases of Female Genital Fistula Niger - Open Journal of Obstetrics and Gynecology

OJOG > Vol.8 No.14, December 2018

Multicentric Study of 148 New Cases of Female Genital Fistula Niger ()

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DOI: 10.4236/ojog.2018.814162 802 Downloads 1,779 Views Citations

Author(s)

N. Idi^1*, N. A. Harouna Malam Brah¹, A. Idrissa², L. Djangnikpo², Z. Assoumana³

Affiliation(s)

¹Faculte des Sciences de la Sante, Universite A Moumouni, Niamey, Niger.
²Centre National de Référence pour la Fistule Obstétricale (CNRFO), Niamey, Niger.
³UNFPA, Niamey, Niger.

ABSTRACT

Introduction: Obstetric fistula is a public health problem but its prevalence remains unknown in Niger. We report epidemiological and anatomopathological status of new cases of female genital fistula. Method: Multicentre prospective study over 15 months (January 1^st, 2016 to March 31^st, 2017) in 5 national centers for the therapeutic management of female genital fistula. Data were collected from focus groups, observations and pre-established individual survey form and hospital records. Results: During the 15-month survey period, 148 new cases of female genital fistula of obstetric origin were recorded. Patients aged 15 to 19 accounted for 40% of cases. They were married before the age of 16 (55.4%), out of school in 89.2% and 77.2% lived outside the matrimonial home. The patients came from rural areas (96%) of the cases, the labor of delivery lasted more than 24 hours in 71.6% and in 95.3% of the cases the delivery was initiated at home and then finished in a health facility, 33.8% had assisted vaginal delivery (forceps/suction cup), 23% by caesarean section and 10.81% by laparotomy for uterine rupture. Fistula occurred during first delivery (47.3%) and recurrence accounted for 5.4% of cases. Perinatal death accounted for 85.1%. Conclusion: Female genital fistula of obstetric origin remains a major public health problem in Niger despite the efforts made.

KEYWORDS

Feminine Genital Fistula, Niger

Share and Cite:

Idi, N. , Brah, N. , Idrissa, A. , Djangnikpo, L. and Assoumana, Z. (2018) Multicentric Study of 148 New Cases of Female Genital Fistula Niger. Open Journal of Obstetrics and Gynecology, 8, 1631-1639. doi: 10.4236/ojog.2018.814162.

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