Fistules obstétricales dans la province du Haut-Katanga, République Démocratique du Congo: à propos de 242 cas

Obstetric fistulas are a major public health problem in poor countries. This study aimed to describe the epidemiological, clinical and therapeutic features of obstetric fistulas in northern Katanga province, Democratic Republic of the Congo. We conducted a descriptive cross-sectional study of 242 pa...

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Autores principales: Nsambi, Joseph Bulanda, Mukuku, Olivier, Yunga, Jean-de-Dieu Foma, Kinenkinda, Xavier, Kakudji, Prosper, Kizonde, Justin, Kakoma, Jean-Baptiste
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5987152/
https://www.ncbi.nlm.nih.gov/pubmed/29875916
http://dx.doi.org/10.11604/pamj.2018.29.34.14576
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author Nsambi, Joseph Bulanda
Mukuku, Olivier
Yunga, Jean-de-Dieu Foma
Kinenkinda, Xavier
Kakudji, Prosper
Kizonde, Justin
Kakoma, Jean-Baptiste
author_facet Nsambi, Joseph Bulanda
Mukuku, Olivier
Yunga, Jean-de-Dieu Foma
Kinenkinda, Xavier
Kakudji, Prosper
Kizonde, Justin
Kakoma, Jean-Baptiste
author_sort Nsambi, Joseph Bulanda
collection PubMed
description Obstetric fistulas are a major public health problem in poor countries. This study aimed to describe the epidemiological, clinical and therapeutic features of obstetric fistulas in northern Katanga province, Democratic Republic of the Congo. We conducted a descriptive cross-sectional study of 242 patients with obstetric fistula living in northern Katanga province from September 2009 to December 2013. The parameters studied included maternal sociodemographic data, obstetric and neonatal parameters, specific features of the fistula as well as management approach and outcome. Variables were analyzed using Epi Info 7.1 software. Out of 242 patients with obstetric fistula, 229 (95%) patients delivered vaginally and among them 74.6% delivered at home. In 93,4% of cases the new-born died in the perinatal period. The average age of patients was 27.9 ± 10.3 years. One out of six patients had less than 20 years and in general almost 1 out of 2 patients had less than 25 years. Seven out of ten patients had a parity of less than 3 and the average parity was 2.5±2.0. Ninety percent of patients had a low educational level and 95% lived alone. The patients had, on average, a history of fistula of more than 4.7±4.4 years, it was a vesico-vaginal fistula (96%) type 2-3 (37%) and it was repaired using a transvaginal approach (67%). The average failure rate was 14%. Obstetric fistula is a real public health problem in our environment and it deserves further consideration to be eradicated.
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spelling pubmed-59871522018-06-06 Fistules obstétricales dans la province du Haut-Katanga, République Démocratique du Congo: à propos de 242 cas Nsambi, Joseph Bulanda Mukuku, Olivier Yunga, Jean-de-Dieu Foma Kinenkinda, Xavier Kakudji, Prosper Kizonde, Justin Kakoma, Jean-Baptiste Pan Afr Med J Case Report Obstetric fistulas are a major public health problem in poor countries. This study aimed to describe the epidemiological, clinical and therapeutic features of obstetric fistulas in northern Katanga province, Democratic Republic of the Congo. We conducted a descriptive cross-sectional study of 242 patients with obstetric fistula living in northern Katanga province from September 2009 to December 2013. The parameters studied included maternal sociodemographic data, obstetric and neonatal parameters, specific features of the fistula as well as management approach and outcome. Variables were analyzed using Epi Info 7.1 software. Out of 242 patients with obstetric fistula, 229 (95%) patients delivered vaginally and among them 74.6% delivered at home. In 93,4% of cases the new-born died in the perinatal period. The average age of patients was 27.9 ± 10.3 years. One out of six patients had less than 20 years and in general almost 1 out of 2 patients had less than 25 years. Seven out of ten patients had a parity of less than 3 and the average parity was 2.5±2.0. Ninety percent of patients had a low educational level and 95% lived alone. The patients had, on average, a history of fistula of more than 4.7±4.4 years, it was a vesico-vaginal fistula (96%) type 2-3 (37%) and it was repaired using a transvaginal approach (67%). The average failure rate was 14%. Obstetric fistula is a real public health problem in our environment and it deserves further consideration to be eradicated. The African Field Epidemiology Network 2018-01-16 /pmc/articles/PMC5987152/ /pubmed/29875916 http://dx.doi.org/10.11604/pamj.2018.29.34.14576 Text en © Joseph Bulanda Nsambi et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Nsambi, Joseph Bulanda
Mukuku, Olivier
Yunga, Jean-de-Dieu Foma
Kinenkinda, Xavier
Kakudji, Prosper
Kizonde, Justin
Kakoma, Jean-Baptiste
Fistules obstétricales dans la province du Haut-Katanga, République Démocratique du Congo: à propos de 242 cas
title Fistules obstétricales dans la province du Haut-Katanga, République Démocratique du Congo: à propos de 242 cas
title_full Fistules obstétricales dans la province du Haut-Katanga, République Démocratique du Congo: à propos de 242 cas
title_fullStr Fistules obstétricales dans la province du Haut-Katanga, République Démocratique du Congo: à propos de 242 cas
title_full_unstemmed Fistules obstétricales dans la province du Haut-Katanga, République Démocratique du Congo: à propos de 242 cas
title_short Fistules obstétricales dans la province du Haut-Katanga, République Démocratique du Congo: à propos de 242 cas
title_sort fistules obstétricales dans la province du haut-katanga, république démocratique du congo: à propos de 242 cas
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5987152/
https://www.ncbi.nlm.nih.gov/pubmed/29875916
http://dx.doi.org/10.11604/pamj.2018.29.34.14576
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