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Obstetric Fistula in Ilorin, Nigeria 英文参考文献
Open access, freely available online
Perspectives
Obstetric Fistula in Ilorin, Nigeria
Andrew Browning
I
n this perspective, Andrew Browning
of the Fistula Hospital in Addis
Obstetric Fistula: A Disease
of Poverty
intravenous antibiotics did not reduce
the risk of failed surgical repair or of
objective incontinence [3]. There has
been only one study in a developing
country comparing different surgical
techniques—a retrospective study of
46 patients operated on over a ?ve-
year period at a hospital in Mumbai,
India [4]. This study suggested that a
technique called the Martius procedure
(which involves grafting of a labial
Ababa discusses a study on obstetric
?stula in Ilorin, Nigeria.The study
was originally published in the West
African Journal of Medicine [1].With the
journal’s permission, we have made
a PDF of the full-text article freely
available on our website (see Text S1).
Obstetric ?stula—a urogenital ?stula
from obstructed labour—is now only
encountered in countries where health
resources are scarce. The shame
associated with incontinence drives
affected women further into a life of
poverty and begging. Many women with
?stula either do not know that they can
get medical help, or if they do, they are
unable to pay.
Furthermore, very little scienti?c
research has been published about
obstetric ?stula and its management,
partly because the people treating
patients with this condition are working
in remote areas, often with very limited
resources for research. What has been
written consists largely of personal case
series and a few epidemiological studies
[2].
T
he obstetric urogenital ?stula
has caused women misery ever
since they ?rst started delivering
children. It was once common
Citation: Browning A (2004) Obstetric ?stula in Ilorin,
Nigeria. PLoS Med 1(1): e2.
worldwide, but with the advent of
safe obstetric care during the early
part of the last century, the condition
has become rare in rich countries.
Urogenital ?stulae do still occur in
develope
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