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International Urogynecology Journal
Published in: International Urogynecology Journal 12/2009

01-12-2009 | Current Opinion/Update

Obstetric fistula in India: current scenario

Authors: Shalini Singh, Nomita Chandhiok, Balwan Singh Dhillon

Published in: International Urogynecology Journal | Issue 12/2009

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Abstract

Background

India lacks prevalence and incidence data on obstetric fistula, a near miss maternal mortality.

Methodology

Retrospective data were collected on obstetric fistula cases from hospital records of 24 tertiary care facilities during the period 2000–2006.

Results

Overall, 717 women underwent genital fistula repair, but medical records could be retrieved for only 401 (56%) cases. States of Bihar, Uttar Pradesh, and West Bengal had more than 100 cases each, while Karnataka had none. Obstructed labor caused nearly 97% of genital fistulae while pelvic surgery and accidental trauma contributed to 1.5% cases each. Commonest type of fistula was genitourinary (86.6%), others included rectovaginal (12.1%) and both genitourinary and rectovaginal fistulae (1.2%). Fistula repair was attempted in 322 (83%) cases of whom 289 (89.71%) were successfully repaired.

Conclusions

There is a need for ongoing systematic data collection mechanism like a fistula registry that would provide facility-based prevalence and incidence, time trends, and changes in etiology of fistula. This information could be used for implementation of prevention and treatment strategies.
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Metadata
Title
Obstetric fistula in India: current scenario
Authors
Shalini Singh
Nomita Chandhiok
Balwan Singh Dhillon
Publication date
01-12-2009
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 12/2009
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-009-1000-0

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