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。