Abstract:
Introduction: Obstetric fistula is an entirely preventable condition that
can be caused by obstructed labour, caesarean section, advanced
cervical cancer, and uterine rupture. It is commonly found among poor
and illiterate rural women. This study assessed the knowledge of
obstetric fistula among patients and relatives, the determinants of
maternal healthcare utilization and the health, psychological and
economic consequences of obstetric fistula.
Methods: This qualitative study was conducted in the Fistula Centre of
Bingham University Teaching Hospital, Jos, Plateau State. This study
utilized Focus Group Discussions among 40 patients and relatives of
obstetric fistula patients.
Results: Causes of obstetric fistula as stated by most respondents
include prolonged labour, home deliveries, caesarean section, delay in
seeking care, early parity, and high parity. Relatives stated that
prevention of obstetric fistula can be achieved by creation of referral
services to bigger hospitals in complicated deliveries, health
education/empowerment of the girl child, encouragement of spouses
and family members to give support for ANC and delivery services. A
fifth of respondents do not utilize maternal health services due to lack
of transportation, and all respondent needed to inform their spouse
before seeking maternal care. Patients suffered significant health,
psychosocial and economic sequalae like isolation and rejection,
shame, depression, divorce, low income, and other morbidities.
Conclusion: Perceived possible causes of obstetric fistula were
prolonged labour, home deliveries, caesarean section, delay in seeking
care, early parity and high parity. Patients had Significant health,
psychosocial and economic sequalae like isolation and rejection,
shame, depression, divorce, low income and other morbidities are
possible consequences of the condition.
