Profiles and experiences of women undergoing genital fistula repair: Findings from five countries
Profiles and experiences of women undergoing genital fistula repair: Findings from five countries
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DOI：
10.1080/17441692.2013.824018
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发表时间：
2013-08-07
影响因子：
3.3
通讯作者：
Barone, Mark A.
中科院分区：
文献类型：
--
作者：
Landry, Evelyn;Frajzyngier, Vera;Barone, Mark A.
本文介绍了来自五个国家的1354名妇女的数据，她们参加了2007年至2010年进行的前瞻性队列研究。接受瘘管修补手术的妇女在入院、出院和3个月随访时接受了采访。虽然各国妇女的经历各不相同，但各国之间出现了类似的情况：妇女结婚早，大多数在入院时就结婚，受教育程度低，对许多人来说，瘘管病发生在第一次怀孕后。瘘管发生时的中位年龄为20.0岁（四分位数范围17.3-26.8）。一半的妇女参加了一些产前护理（ANC）;在参加ANC的人中，不到50%的人回忆起被告知怀孕并发症的迹象。在后续行动中，大多数妇女（即使是那些不干燥）报告在社会生活的许多方面的改善，然而，报告的改善因修复结果而异。预防和治疗方案需要认识到丈夫、伴侣和家庭在妇女为安全分娩做准备时所发挥的支持作用。需要为手术后仍然失禁的妇女提供有效的治疗和支助方案。
This article presents data from 1354 women from five countries who participated in a prospective cohort study conducted between 2007 and 2010. Women undergoing surgery for fistula repair were interviewed at the time of admission, discharge, and at a 3-month follow-up visit. While women's experiences differed across countries, a similar picture emerges across countries: women married young, most were married at the time of admission, had little education, and for many, the fistula occurred after the first pregnancy. Median age at the time of fistula occurrence was 20.0 years (interquartile range 17.3-26.8). Half of the women attended some antenatal care (ANC); among those who attended ANC, less than 50% recalled being told about signs of pregnancy complications. At follow-up, most women (even those who were not dry) reported improvements in many aspects of social life, however, reported improvements varied by repair outcome. Prevention and treatment programmes need to recognise the supportive role that husbands, partners, and families play as women prepare for safe delivery. Effective treatment and support programmes are needed for women who remain incontinent after surgery.