The Obstetrical Vesicovaginal Fistula Still an Ongoing Tragedy of Developing Countries
Objective: To investigate the causes of Obstetrical Vesicovaginal fistula in mothers of developing countries.
Methods: It is a descriptive study in which 56 patients with obstetric vesicovaginal fistulas were included in the study from Ist Jan 2006 to 31st December 2008. It was carried out at Lady Willingdon Hospital, Lahore in Gynae /Obstetric unit-I.
Results: There were 56 patients included in this study. 67.8% patients were in 21-29 years of age group. Only 17.8% patients received some kind of antenatal care, obstructed labour was seen in 71.4% of cases, 48.2% of patients were primi-gravidas. Caesarean sections were done in 12.5%, of cases caesarean Hysterectomies were done in 17.8% of cases, and for-ceps deliveries were carried out in 5% of cases only.
Conclusion: The obstetrical Vesicovaginal fistula is still a tragedy of mothers in developing countries Antenatal Care, mana-gement of labour by appropriate and skilled persons, centralization and training of specialists for repair of fistulas are the key elements to fight against such mishaps.
Key Words: Obstetric Fistula, Vesicovaginal (VVF), morbidity.
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