Mwini-Nyaledzigbor Prudence P, Agana Alice A, Pilkington F Beryl
School of Nursing, College of Health Sciences, University of Ghana, Accra, Ghana.
Health Care Women Int. 2013;34(6):440-60. doi: 10.1080/07399332.2012.755981.
Obstetric fistula is a worldwide problem that is devastating for women. This qualitative descriptive study explores the experiences of Ghanaian women who sustained obstetric fistula during childbirth. In-depth interviews were conducted with 10 participants. The resultant themes include cultural beliefs and practices surrounding prolonged labor in childbirth, barriers to delivering at a health care facility, and the challenges of living with obstetric fistula, including psychosocial, socioeconomic, physical, and health care access issues. Recommendations include strategies to address this complex problem, including education of men and women on safe motherhood practices, training of traditional birth attendants (TBAs), and improving access to health care.
产科瘘是一个全球性问题，对女性来说具有毁灭性。这项定性描述性研究探讨了加纳妇女在分娩期间患产科瘘的经历。对10名参与者进行了深入访谈。得出的主题包括围绕分娩时产程延长的文化信仰和习俗、在医疗机构分娩的障碍以及患有产科瘘生活的挑战，包括心理社会、社会经济、身体和医疗保健获取问题。建议包括解决这一复杂问题的策略，包括对男性和女性进行安全孕产做法的教育、培训传统助产士以及改善医疗保健的可及性。
