Ampofo K, Otu T, Uchebo G
Department of Community Medicine, University of Papua, New Guinea.
West Afr J Med. 1990 Apr-Jun;9(2):98-102.
A comparative study of vesico-vaginal fistulae cases and controls was carried out at two tertiary hospitals in Maiduguri, Nigeria. The fistulae cases were significantly shorter in height, younger in age at marriage and had a higher divorce rate. Prolonged labour, traditional surgical practice of "gishiri cut" and ignorance were identified as the commonest causes of the fistulae. The health and socio-economic consequences to the patient are discussed. Patients are considered to have brought shame to themselves and their families and quite often lose the support of the husband. It is recommended that maternity services be firmly integrated and given a higher priority in primary health care. In the long-term increase in the literacy level of females is desirable.
在尼日利亚迈杜古里的两家三级医院对膀胱阴道瘘病例和对照进行了一项比较研究。瘘管病例的身高明显更矮，结婚年龄更小，离婚率更高。产程延长、“吉西里切口”的传统手术做法和无知被确定为瘘管最常见的原因。讨论了对患者的健康和社会经济影响。患者被认为给自己和家人带来了耻辱，而且常常失去丈夫的支持。建议在初级卫生保健中牢固整合产科服务并给予更高优先级。从长远来看，提高女性识字水平是可取的。
