Medical & Surgical Urology
Open Access

Prevalence of obstetric fistula: A population-based study in rural Pakistan

4^th International Conference on Urology

July 20-21, 2015 Barcelona, Spain

Abdul Hakeem Jokhio, Raheela Mohsin Rizvi, Javed Rizvi and Christine MacArthur

Posters-Accepted Abstracts: Med Surg Urol

Abstract :

Objective: To estimate the prevalence of obstetric fistula, its duration and impact on womenâ??s daily life using robust data collection methods in a population based sample in rural Pakistan. Design: A population-based, cross-sectional study. Setting: A rural community in Sindh Province, Pakistan Population: Randomly selected women aged 15 or older. Methods: A multistage random sampling strategy was used to recruit the women. Lady Health Workers interviewed women in their own homes using a structured questionnaire to obtain symptom data. Women with symptoms of incontinence were then examined by female gynaecologists in their local health facilities to confirm obstetric fistula. Main outcome measure: Obstetric fistula confirmed by gynaecological examination. Results: Among the 5064 women interviewed (96% response rate), 20 cases of obstetric fistula were identified, showing a prevalence of 0.39% of all women (95% CI 0.22% to 0.57%) and 0.45% of parous women (95% CI 0.25% to 0.65%). Significantly more of the women with obstetric fistula compared with parous women without fistula were primiparae and aged less than 20. 40% of women with obstetric fistula had this for more than 5 years and 90% reported a major impact on their lives, yet only 4 had consulted a doctor 3 of whom had failed repairs. Conclusions: The prevalence of obstetric fistula is high in rural Pakistan. Appropriate provision is needed for fistula repair to reduce the burden of the condition. Alongside this the improvement of maternity care services is urgently needed to prevent its continued occurrence.