Turan Janet Molzan, Johnson Khaliah, Polan Mary Lake
Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, CA, USA.
Glob Public Health. 2007;2(1):64-77. doi: 10.1080/17441690600648728.
This article presents findings from qualitative interviews with women seeking medical care for obstetric fistula in Eritrea. The interviews were designed to inform programme design for the prevention and treatment of obstetric fistula. Interviews were conducted with 11 new fistula repair patients, 15 women returning for follow-up for their fistula repairs, and five accompanying family members at Massawa Hospital in the Northern Red Sea Zone of Eritrea during November-December 2004. The women described long delays in accessing emergency obstetric care due to delayed recognition of the seriousness of the problem and lack of transportation from remote villages. Follow-up patients described improvements in their conditions, but many continued to have problems with incontinence and sexual health. Both new and returning patients lacked specific information about their condition, what to expect in terms of treatment and recovery, and how to care for themselves. The findings point to a need for community mobilization and education on safe motherhood for prevention of fistula, as well as for improved information, counselling, follow-up, and social services for women who develop obstetric fistulas.
本文介绍了对厄立特里亚寻求产科瘘医疗护理的女性进行定性访谈的结果。这些访谈旨在为产科瘘的预防和治疗方案设计提供信息。2004年11月至12月期间，在厄立特里亚红海北部地区的马萨瓦医院，对11名新的瘘管修复患者、15名前来进行瘘管修复随访的女性以及5名陪同的家庭成员进行了访谈。这些女性表示，由于对问题严重性的认识延迟以及偏远村庄缺乏交通，她们在获得紧急产科护理方面长期延误。接受随访的患者表示病情有所改善，但许多人仍存在尿失禁和性健康问题。新患者和复诊患者都缺乏关于自身病情、治疗和康复预期以及如何自我护理的具体信息。研究结果表明，需要开展社区动员和安全孕产教育以预防瘘管，同时需要为患有产科瘘的女性提供更好的信息、咨询、随访和社会服务。
