Meyer Larissa, Ascher-Walsh Charles J, Norman Rachael, Idrissa Abdoulaye, Herbert Hadley, Kimso Oumou, Wilkinson Jeffrey
Department of Obstetrics and Gynecology, College of Physicians and Surgeons, Columbia University, New York, NY, USA.
Am J Obstet Gynecol. 2007 Jul;197(1):90.e1-4. doi: 10.1016/j.ajog.2007.03.071.
The purpose of this study was to evaluate the histories of women with urinary incontinence caused by vesicovaginal fistulae in Niger. This is an exploratory analysis to investigate possible contributing factors to the development of vesicovaginal fistulae.
From September 2005 to January 2006, 58 women who were treated for vesicovaginal fistulae at the National Hospital Fistula Center, Niamey, Niger, were interviewed.
The average age of marriage was 15.6 years and of first pregnancy was 17.3 years; 44.9% of the women were primigravid; and 94.8% of the women began labor at home. By delivery, 91.4% of the women sought additional care. The average labor lasted 2.61 days. An average of 1.61 days passed before further assistance was sought; 91.4% of infants were stillborn.
Early marriage, young age at first pregnancy, and labor length are common findings in our population of women with vesicovaginal fistulae. Most women who experienced fistulae also had poor obstetric outcomes. Increasing access to emergency obstetric care is of paramount importance to prevent fistula formation.
本研究旨在评估尼日尔因膀胱阴道瘘导致尿失禁的女性的病史。这是一项探索性分析，旨在调查膀胱阴道瘘形成的可能促成因素。
2005年9月至2006年1月期间，对在尼日尔尼亚美国家医院瘘管中心接受膀胱阴道瘘治疗的58名女性进行了访谈。
平均结婚年龄为15.6岁，首次怀孕年龄为17.3岁；44.9%的女性为初产妇；94.8%的女性在家中开始分娩。到分娩时，91.4%的女性寻求了额外护理。平均产程持续2.61天。在寻求进一步援助之前平均过去了1.61天；91.4%的婴儿为死产。
早婚、首次怀孕年龄小和产程长是我们膀胱阴道瘘女性人群中的常见情况。大多数经历瘘管的女性产科结局也较差。增加获得紧急产科护理的机会对于预防瘘管形成至关重要。
