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产科瘘管病:对公共卫生的一项挑战。

Obstetric fistula: A challenge to public health.

作者信息

Swain Dharitri, Parida Swayam Pragyan, Jena Saubhagya Kumar, Das Mahasweta, Das Hrushikesh

机构信息

Assistant Professor, College of Nursing, AIIMS, Bhubaneswar, Odisha, India.

Associate Professor, Department of Community Medicine and Family Medicine, AIIMS, Bhubaneswar, Odisha, India.

出版信息

Indian J Public Health. 2019 Jan-Mar;63(1):73-78. doi: 10.4103/ijph.IJPH_2_18.

DOI:10.4103/ijph.IJPH_2_18
PMID:30880741
Abstract

Obstetric fistula (OF) is one of the most important consequences of a prolonged obstructed labor, a big issue for low-income countries (LICs) like India. The objective is to identify and explore the knowledge regarding OF as a public health problem in LICs from peer review literature. The PubMed, Google Scholar, and Science Direct databases were searched to identify the prevalence, risk factors, and management of OF in LICs. Quantitative evidence-based paper reviewed. Twenty-seven articles met the inclusion criteria. The 15 provided population-based OF prevalence data of OF and 12 provided risk factors and social causes of OF rates associated with the birth that caused an OF. OF has one of the big public health problems. There is a lack of scientific research on the prevalence and risk factors of OF in LICs. This review helps to eradicate or alleviate the problem of OF in LICs like India.

摘要

产科瘘管病(OF)是产程延长导致的最重要后果之一,这对印度等低收入国家(LICs)来说是一个重大问题。目的是从同行评议文献中识别并探究关于产科瘘管病作为低收入国家公共卫生问题的知识。检索了PubMed、谷歌学术和科学Direct数据库,以确定低收入国家产科瘘管病的患病率、风险因素和管理方法。对基于定量证据的论文进行了综述。27篇文章符合纳入标准。其中15篇提供了基于人群的产科瘘管病患病率数据,12篇提供了与导致产科瘘管病的分娩相关的产科瘘管病发生率的风险因素和社会原因。产科瘘管病是重大公共卫生问题之一。低收入国家对产科瘘管病的患病率和风险因素缺乏科学研究。本综述有助于根除或缓解印度等低收入国家的产科瘘管病问题。

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BMC Surg. 2025 Apr 17;25(1):163. doi: 10.1186/s12893-025-02910-z.
2
Estimating the cost for obstetric fistula repair in hospitals of Mozambique: a low-income country.估算莫桑比克(一个低收入国家)医院中产科瘘修补手术的费用。
Health Econ Rev. 2024 Aug 26;14(1):65. doi: 10.1186/s13561-024-00542-2.
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Understanding Healthcare-Seeking Pathways and Dilemmas Among Women with Obstetric Fistulas in Ethiopia: A Qualitative Inquiry.
了解埃塞俄比亚产科瘘管病妇女的就医途径与困境:一项定性研究
Int J Womens Health. 2023 Feb 3;15:135-150. doi: 10.2147/IJWH.S395064. eCollection 2023.
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Factors associated with the awareness of vaginal fistula among women of reproductive age: findings from the 2018 Nigerian demographic health cross-sectional survey.与育龄妇女对阴道瘘认知相关的因素:来自 2018 年尼日利亚人口健康横断面调查的结果。
BMJ Open. 2020 Nov 12;10(11):e040078. doi: 10.1136/bmjopen-2020-040078.
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Prevalence and risk factors of obstetric fistula: implementation of a need-based preventive action plan in a South-eastern rural community of India.产科瘘管病的流行情况和危险因素:在印度东南部农村社区实施基于需求的预防行动计划。
BMC Womens Health. 2020 Mar 4;20(1):40. doi: 10.1186/s12905-020-00906-w.