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Indexing
Chairman NMA
Dr Umar Muhammad Muktar
Chairman NMA Sokoto
Abstract
| Volume 10 Number 3 - 4 July - December 2022 |
| Nasir S, Elladan AM, Hassan M, 1Sani MS, Akinbola MM, Tunau K |
| Background: Obstetric fistula is a serious and a major reproductive health problem for women in Nigeria as a result of poor access to quality obstetric care. It is responsible for a significant physical, social and psychological morbidity in these women. Objective: The objective of this study was to determine the outcome of the use of bladder catheterization using Foley catheter for the prevention and conservative treatment of obstetric fistula. Methods: This was a three-year retrospective review of all cases that had bladder catheterization using Foley catheter for the prevention and conservative treatment of obstetric fistula at the National Obstetric Fistula Centre, Babbar Ruga, Katsina state, Nigeria, from 1st Jan, 2015 to 31st Dec, 2017. Results: Atotal of 1088 patients were seen in the Centre during the study period out of which 300 (27.65) had catheter treatment for various reasons. Out of the 300 patients that had catheter treatment only 188 (62.7%) had catheter treatment for the prevention and conservative treatment of obstetric fistula using bladder catheterization. All the patients were married with the majority (91.1%) having no formal education. The mean age of the patients was 22.78 ± 7.98 with a minimum age of 14 years' and maximum age of 47 years with a modal parity of one with a minimum parity of one and maximum parity of 13. The mean duration of labour was 2.07 ± 0.89 days. Majority 115 (73.2%) were delivered in the hospital with 122(77.7%) having spontaneous vaginal delivery. The mean duration of urine leakage was 12.3 ± 6.97 days. Adiagnosis of fresh fistula was made in 107(68.2%) and anterior vaginal wall necrosis only in 50 (31.8%). The fistula size ranged from < 1cm to 4 cm. Four weeks after removal of the catheter 112 (71.3%) were found to have successful catheter treatment. The remaining 45(28.7%) were scheduled for surgical intervention. Conclusion: Use of bladder catheterization offers a promising alternative to surgica |
| 10.47837/CMJ.2019714.1 |
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