TITLE:
Multicentric Study of 148 New Cases of Female Genital Fistula Niger
AUTHORS:
N. Idi, N. A. Harouna Malam Brah, A. Idrissa, L. Djangnikpo, Z. Assoumana
KEYWORDS:
Feminine Genital Fistula, Niger
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.8 No.14,
December
29,
2018
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 1st, 2016 to March 31st,
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.