The Factors Influencing Obstetric Fistula on Women of Childbearing Age In Daynile Hospital Mogadishu-Somalia

Abstract

The Aim of the study explores factors influencing obstetric fistula on women of childbearing age at daynile hospital. The specific objectives are; to determine factors influencing obstetric fistula on women of childbearing age at daynile hospital, to determine the complications of obstetric fistula on women of childbearing age at daynile hospital, in addition to identify barriers preventing women from accessing fistula repair at daynile hospital. This study adopted desk review for medical records of 40 patients who underwent obstetric fistula repair campaign on December 2015 at Daynile hospital. Majority of the women were young under 20 years of age, with no education (53%). The major cause of Obstetric fistula for these patients was prolonged labor at the time of delivery had labored for at least (10-24) hours, 35% of these women assisted by traditional birth attendant during labor at home, in addition 68% of the patients had FGM type of circumcision. The majority of the patients were vesico-vaginal type of fistula with previous unsuccessful repair. 83% of the patients had urine incontinent, 13% stool incontinent for almost one yea. The reason of delaying their access to fistula repair was economic reason and lack of access to good obstetric care during pregnancy and labor. The study concludes that community health workers should provide awareness to pregnant women not to deliver at home and to improve the availability of good obstetric care at the district health centers in addition to provide training for local junior doctors to perform fistula repair