Cross-sectional study of the ultrasonographic and hormonal characteristics of obstetric fistula patients with and without secondary amenorrhea

2016 ◽  
Vol 136 (2) ◽  
pp. 238-240 ◽  
Author(s):  
Jennifer H. Tang ◽  
Anne Z. Steiner ◽  
Angela M. Bengtson ◽  
Margaret Moyo ◽  
Mwawi Mwale ◽  
...  
Keyword(s):  
Obstetric Fistula ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Secondary Amenorrhea

Chromosomal aberrations in women with primary and secondary amenorrhea: A cross‐sectional study

2019 ◽  
Vol 45 (8) ◽  
pp. 1497-1505
Author(s):  
Dania Al‐Jaroudi ◽  
Ayah Hijazi ◽  
Mohammed Bashir ◽  
Humariya Heena ◽  
Soha A. Tashkandi
Keyword(s):  
Chromosomal Aberrations ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Secondary Amenorrhea ◽  
Primary And Secondary Amenorrhea

scholarly journals Knowledge of Obstetric Fistula Prevention amongst Young Women in Urban and Rural Burkina Faso: A Cross-Sectional Study

PLoS ONE ◽  
2013 ◽  
Vol 8 (12) ◽  
pp. e85921 ◽  
Author(s):  
Aduragbemi O. Banke-Thomas ◽  
Salam F. Kouraogo ◽  
Aboubacar Siribie ◽  
Henock B. Taddese ◽  
Judith E. Mueller
Keyword(s):  
Burkina Faso ◽  
Young Women ◽  
Obstetric Fistula ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Fistula Prevention

scholarly journals Quality of Life among Obstetric Fistula Patients at Kitovu Mission Hospital: A Health Facility-Based Cross-Sectional Study in Masaka District, Uganda

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Samuel Kakembo ◽  
Christine Atuhairwe ◽  
Ivan Mugisha Taremwa
Keyword(s):  
Quality Of Life ◽  
Qualitative Content Analysis ◽  
Obstetric Fistula ◽  
Cross Sectional Study ◽  
Personal Relationships ◽  
Sectional Study ◽  
Cross Sectional ◽  
Mission Hospital ◽  
Self Confidence

Background. Obstetric fistula (OF) remains a silent neglected maternal challenge associated with devastating life consequences. Living with OF presents far-reaching physical, social, psychosocial, and emotional concerns, which negatively impact a woman’s quality of life. This study evaluated the quality of life among obstetric fistula patients in Masaka district, Uganda. Method. A cross-sectional study was conducted among 63 women diagnosed with OF at Kitovu Mission Hospital. Data were collected using a questionnaire, observation, in-depth interviews, and focus group discussions. Data were analyzed at univariate, bivariate, and multivariate levels, where the ordinal logistic regression model was applied. The qualitative data was transcribed and analyzed using qualitative content analysis. Results. Majority (87%) of the women diagnosed with OF reportedly had a poor quality of life. Bivariate analysis indicated that level of education (P<0.001), employment status (P<0.001), energy for everyday life (P<0.001), capacity to work (P<0.001), satisfaction with personal relationships (P<0.001), feelings of loneliness (P<0.001), negative feelings (P=0.002), and self-confidence (P<0.001) were significantly associated with good QoL. Multivariate analysis showed increased odds of good QoL increased among women with self-confidence (OR = 32.320; CI = 2.019–517.467), formal education (OR = 9.9497; CI = 1.075–92.048), women who did not experience difficulties in mobility (OR = 19.144; CI = 0.149–2456.770), and women who were satisfied with their personal relationships (OR = 5.785; CI = 0.447–74.824). Conclusion. A holistic fistula treatment approach is required that takes into consideration all aspects of life to address the consequences of obstetric fistula to realize improved quality of life among patients.

scholarly journals Pelvic Ultrasound Findings in Women with Obstetric Fistula: A Cross-Sectional Study of Cases and Controls

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Jeffrey P. Wilkinson ◽  
Angela M. Bengtson ◽  
Ennet Chipungu ◽  
Rachel J. Pope ◽  
Bonus Makanani ◽  
...  
Keyword(s):  
Obstetric Fistula ◽  
Cross Sectional Study ◽  
Obstetric Outcomes ◽  
Sectional Study ◽  
Obstructed Labor ◽  
Partial Explanation ◽  
Cross Sectional ◽  
Endovaginal Ultrasound ◽  
Future Fertility ◽  
Cervical Stroma

Objective. Obstetric fistula (OF) is a morbid condition caused by prolonged obstructed labor. Women with OF experience profound injury and have high rates of infertility and poor obstetric outcomes. We examined endovaginal ultrasound parameters in women with and without OF. Design/Setting/Sample/Methods. This cross-sectional study enrolled women evaluated at the Fistula Care Centre in Lilongwe, Malawi. Eligibility criteria included age 18–45, prior pregnancy, and a uterus on ultrasound. Participants underwent endovaginal ultrasound with measurement of cervical dimensions. Comparisons were done using t-tests and Fisher's exact test. Among women with OF, linear regression was used to assess whether fistula stage was associated with cervical length. Results. We enrolled 98 cases and 12 controls. Women with OF had shorter cervical lengths (18.8 mm versus 27.3 mm, p < 0.01), as well as shorter anterior (7.0 mm versus 9.3 mm, p < 0.01) and posterior (9.5 mm versus 11.0 mm, p < 0.04) cervical stroma, compared to controls. Conclusion. Women with OF have shorter cervical lengths and anterior and posterior cervical stroma, when compared to women without OF. This may offer a partial explanation for subfertility and poor obstetric outcomes in OF patients. Additional studies to clarify the role of ultrasound in OF patients and prediction of future fertility are warranted.

scholarly journals Hubungan Anxietas dengan Kejadian Amenore Sekunder pada Mahasiswi Fakultas Kedokteran Universitas Andalas

2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Flora Oktavia ◽  
Desmiwarti Desmiwarti ◽  
Yaslinda Yaunin
Keyword(s):  
Significant Relationship ◽  
Cross Sectional Study ◽  
Medical Faculty ◽  
Sectional Study ◽  
Test Statistic ◽  
Chi Square ◽  
Cross Sectional ◽  
Secondary Amenorrhea ◽  
Chi Square Test ◽  
Test Result

AbstrakAmenore sekunder merupakan salah satu gangguan siklus menstruasi yang berkaitan dengan penurunan fertilitas dan gangguan kesehatan organ reproduksi. Anxietas merupakan faktor yang dapat menyebabkan amenore sekunder. Tujuan penelitian ini adalah untuk mengetahui hubungan anxietas dengan kejadian amenore sekunder pada mahasiswi pendidikan dokter Fakultas Kedokteran Universitas Andalas angkatan 2009 dan 2010 yang dipilih sebagai subjek. Penelitian ini menggunakan cross sectional study dengan jumlah subjek 193 orang. Pengumpulan data dari responden dilakukan dengan wawancara terpimpin (pengisian kuesioner). Analisis statistik yang digunakan adalah uji chi square. Hasil penelitian menemukan bahwa kejadian amenore sekunder lebih banyak terjadi pada responden yang mengalami anxietas (36,3%), jika dibandingkan dengan responden yang tidak mengalami anxietas (2,1%). Uji statistik chi square menunjukkan ada hubungan yang bermakna antara anxietas dengan kejadian amenore sekunder (p<0,05) dan ada hubungan yang bermakna antara tingkat anxietas dengan kejadian amenore sekunder berdasarkan uji statistik chi square (p<0,05).Kata kunci: anxietas, amenore sekunder, mahasiswiAbstractSecondary amenorrhea is one a menstrual cycle disturbances have been associated with decreased fertility and various health disorderson reproductive systems. Anxiety have been found at risk of disturbances of the secondary amenorrhea.The objective of this study was to determine the association of anxiety with secondary amenorrhea in female medical faculty of Andalas University.This study used cross sectional study design with 193 samples. Data was collected by guided interview. Statistic analysis used chi square test. Result of this study found that incidence of secondary amenorrhea is more common in women who experience anxiety (36,3%), when compared with who did not has anxiety (2,1%). Chi square test statistic showthere was significant relationship between anxiety and secondary amenorrhea (p<0,05) and also there is significant relationship between anxiety levels and secondary amenorrhea base on statistic square test (p<0,05).Keywords:anxiety,secondary amenorrhea,female medical faculty

scholarly journals Relying on Visiting Foreign Doctors for Fistula Repair: The Profile of Women Attending Fistula Repair Surgery in Somalia

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Abdi A. Gele ◽  
Abdulwahab M. Salad ◽  
Liban H. Jimale ◽  
Prabhjot Kour ◽  
Berit Austveg ◽  
...  
Keyword(s):  
Healthcare Professionals ◽  
Obstetric Fistula ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Fistula Repair ◽  
Cross Sectional ◽  
One Year ◽  
Foreign Doctors ◽  
Study Participants ◽  
Obstetric Labor

Obstetric fistula is treatable by surgery, although access is usually limited, particularly in the context of conflict. This study examines the profile of women attending fistula repair surgery in three hospitals in Somalia. A cross-sectional study was conducted in Somalia from August to September 2016. Structured questionnaires were administered to 81 women who registered for fistula repair surgery in the Garowe, Daynile, and Kismayo General Hospitals in Somalia. Findings revealed that 70.4% of the study participants reported obstetric labor as the cause of their fistula, and 29.6% reported iatrogenic causes. Regarding the waiting time for the repair surgery, 45% waited for the surgery for over one year, while the rest received the surgery within a year. The study suggests that training for fistula surgery has to be provided for healthcare professionals in Somalia, fistula centers should be established, and access to these facilities has to be guaranteed for all patients who need these services.

scholarly journals The teenage pregnancy on obstetric fistula among women in fistula center at Malalai Hospital, Kabul Afghanistan: A cross-sectional study

2021 ◽  
Vol 20 ◽  
pp. 953-960
Author(s):  
Mahbooba Sahak ◽  
Oniba Saiqal ◽  
Mohibullah Salih
Keyword(s):  
Teenage Pregnancy ◽  
Obstetric Fistula ◽  
Maternity Hospital ◽  
Cross Sectional Study ◽  
Early Marriage ◽  
World Health ◽  
Fistula Formation ◽  
Sectional Study ◽  
Cross Sectional ◽  
Marriage Age

Introduction: Obstetric Fistula is defined as direct communication between the vagina and the bladder (vesicovaginal fistula) and/or between the vagina and the rectum (recto-vaginal fistula). Each year 50.000 to 100.000 new cases of obstetric fistula are globally reported.  According to World Health Organization, more than 200 million young women live with unrepair obstetric fistula mostly in sub-Saharan Africa and southeast Asia including Afghanistan. Women with obstetric fistula suffer from frequent urinary or fecal incontinence which causes shame, social segregation, and other health problems. Obstructed labor (due to early marriage and inadequately developed pelvic) constitutes the most common cause of obstetric fistula. Therefore, the current study strived to assess teenage pregnancy on obstetric fistula among women in the fistula center of Malalai Maternity Hospital in Kabul, Afghanistan. Methods: A descriptive cross-sectional study was conducted over a period of one year (2019-2020) with 30 cases of obstetric fistula among women attended at Fistula Center of Malalai Maternity Hospital. Result: Among 30 women current aged with obstetric fistula 66.6 % were between20-37years, the mean age was 33.9±10.2 and the median was 30 years, the max and min range was between 20-56y. 66.6 % cases their marriage-age was between 16-20 y, while marriage age(mean) was 18.4±3.2, most women (60%) their ages in first delivery were between 15-19 y old, the height of the 40% women was less than 150 cm, and 46.7% women had 1-4 parity with mean of 5.2±3.1 and extreme (1-14), duration of labor in 90% were more than one day, majority of cases (60%) was Recto vaginal, 33% vesicovaginal and 7% with a compound type of fistula, 80% of cases were from remote and rural areas. Conclusions The teenage pregnancy and early marriage between (16-20 y old) was the vast majority of obstetric fistula formation, rectovaginal fistula, living in a remote area, short stature less than 150cm, and duration of more than one day have been seen. teenage pregnancy and obstetric fistula are preventable conditions. These findings suggest that efforts to reduce obstetrical fistula should target teenagers  

scholarly journals Awareness of obstetric fistula and its associated factors among reproductive-age women in Ethiopia: a multilevel analysis of Ethiopian Demographic and Health Survey data: a cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e053221
Author(s):  
Wallelign Aleminew ◽  
Bezawit Mulat ◽  
Kegnie Shitu
Keyword(s):  
Associated Factors ◽  
Obstetric Fistula ◽  
National Level ◽  
Media Exposure ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Case Vignette ◽  
Sectional Study ◽  
Cross Sectional ◽  
Reproductive Age Women

ObjectiveThis study aimed to determine the magnitude and associated factors of obstetric fistula (OF) awareness among reproductive-age women in Ethiopia.MethodsThis community-based cross-sectional study was conducted among 15 683 reproductive-aged women in Ethiopia. Following the presentation of a case vignette, women’s OF awareness was measured by asking if they had ever heard of OF. A multilevel multivariable logistic regression analysis was employed. A 95% CI and p<0.05 were used to declare statistical significance.ResultThe magnitude of women’s awareness of OF was 38% (95% CI 0.37 to 0.39). Individual level variables including being in the age group of 20–25 (adjusted OR, AOR 1.17; 95% CI 1.02 to 1.35), 26–30 (AOR 1.50; 95% CI 1.27 to 1.76) and >30 (AOR 1.76; 95% CI 1.50 to 2.07), being Muslim (AOR 0.83; 95% CI 0.73 to 0.94), having primary (AOR 1.70; 95% CI 1.53 to 1.89), secondary (AOR 3.43; 95% CI 2.95 to 3.99) and tertiary education (AOR 5.88; 95% CI 4.66 to 7.42), history of pregnancy termination (AOR 1.31; 95% CI 1.13 to 1.51), media exposure (AOR 1.33; 95% CI 1.2 to 1.49), internet use (AOR 2.25; 95% CI 1.84 to 2.75), medium (AOR 1.17; 95% CI 1.02 to 1.34) and rich house hold wealth (AOR 1.50; 95% CI 1.31 to 1.72) and community level factors including high community media exposure (AOR 1.30; 95% CI 1.05 to 1.61), high community antenatal care rate (AOR 1.66; 95% CI 1.37 to 2.02) and low health facility distance problem (AOR 1.49; 95% CI 1.23 to 1.81) were significantly associated with women’s awareness of OF.Conclusions and recommendationsThe magnitude of women’s awareness of OF was very low in Ethiopia. Awareness of OF was influenced by sociodemographic, economic, obstetric and community-related factors. Thus, tailored public health education is required at the national level to enhance women’s awareness of OF.

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