Aynalem Getie Lake, Kassie Belayneh Ayanaw, Baye Chernet, Tamiru Animut Tagele, Anteneh Kiber Temesgen, Berhe Aster, Fentahun Wagaye, Debele Tibeb Zena, Yirdaw Birhanu Wubale, Rade Bayew Kelkay, Enyew Mihretu Molla
School of Midwifery, University of Gondar, Gondar City, Ethiopia.
Department of Gynecology/Obstetrics, University of Gondar, Gondar City, Ethiopia.
Rehabil Res Pract. 2022 Feb 8;2022:6703409. doi: 10.1155/2022/6703409. eCollection 2022.
Childbirth is a special time in the lives of women and families at large. It can also be a time of great tragedy. International reports show that, annually, more than 500,000 women die from pregnancy and childbirth complications globally. For every woman who dies in childbirth, majorities remain alive, but scarred by permanent disabilities. Obstetric fistula is, without a doubt, the most severe of pregnancy-related disabilities.
This research is aimed at assessing the long-term effects of obstetric fistula on the overall quality of life among fistula survivors in central Gondar zone.
A community-based cross-sectional study was conducted among women who had undergone obstetric fistula repair, 1-4 years after the surgery, in the central Gondar zone. The participants were reached through appointments that were made by the researchers using census approach after having the participants' contact lists (specific residence and cell phone numbers), and research interviews have taken place at the respondents' home or residence using an adapted and validated tool. Data entry and analysis were done using Epi Info version 7 and SPSS version 20, respectively.
A total of 182 fistula survivors were interviewed giving a 94.8% response rate. This study indicated that 84.1% (95% CI: 78.8, 89.4) of respondents had a poor overall quality of life. Maternal age (>30 years) (AOR = 3.8, 95% CI: 2.6, 12.3), marital status (divorced survivors) (AOR = 2.7, 95% CI: 1.3, 8.5), and urinary incontinence (AOR = 1.9, 95% CI: 2.4, 11.2) were positive predictors for poor overall quality of life. The majority of fistula survivors, 82.4%, were stigmatized which could make reintegration into the community challenging for them. Healthcare providers have to implement counseling to women for social reintegration and the possibility of gainful societal activities after repairing.
分娩对广大女性及其家庭而言是一段特殊时期。但它也可能成为巨大悲剧的时刻。国际报告显示，全球每年有超过50万妇女死于妊娠和分娩并发症。每有一名妇女死于分娩，就有多数人存活下来，但却留下永久性残疾的创伤。毫无疑问，产科瘘是与妊娠相关的最严重残疾。
本研究旨在评估产科瘘对贡德尔中部地区瘘管病幸存者整体生活质量的长期影响。
在贡德尔中部地区，对接受产科瘘修补手术1至4年后的妇女进行了一项基于社区的横断面研究。研究人员在获取参与者的联系清单（具体住址和手机号码）后，采用普查方法预约参与者，并使用经过改编和验证的工具在受访者家中或住所进行研究访谈。数据录入和分析分别使用Epi Info 7版和SPSS 20版软件。
共采访了182名瘘管病幸存者，回应率为94.8%。本研究表明，84.1%（95%置信区间：78.8, 89.4）的受访者整体生活质量较差。产妇年龄（>30岁）（调整后比值比=3.8，95%置信区间：2.6, 12.3）、婚姻状况（离婚幸存者）（调整后比值比=2.7，95%置信区间：1.3, 8.5）和尿失禁（调整后比值比=1.9，95%置信区间：2.4, 11.2）是整体生活质量较差的阳性预测因素。大多数瘘管病幸存者（82.4%）受到污名化，这可能使他们难以重新融入社区。医疗保健提供者必须为妇女提供咨询，以促进她们重新融入社会，并在修补后参与有收益的社会活动。
