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. 2004 Apr;190(4):1011-9.
doi: 10.1016/j.ajog.2004.02.007.

The obstetric vesicovaginal fistula: characteristics of 899 patients from Jos, Nigeria

L Lewis Wall  1 , Jonathan A Karshima, Carolyn Kirschner, Steven D Arrowsmith
Affiliations

The obstetric vesicovaginal fistula: characteristics of 899 patients from Jos, Nigeria

L Lewis Wall et al. Am J Obstet Gynecol. 2004 Apr.

Abstract

Objective: The purpose of this study was to describe the characteristics of women with obstetric vesicovaginal fistulas at a hospital in north central Nigeria.

Study design: A retrospective record review was conducted of all women who were seen with vesicovaginal fistulas at Evangel Hospital in Jos, Plateau State, Nigeria, between January 1992 and June 1999.

Results: A total of 932 fistula cases were identified, of which 899 cases (96.5%) were associated temporally with labor and delivery. The "typical patient" was small and short (44 kg and <150 cm); had been married early (15.5 years) but was now divorced or separated; was uneducated, poor, and from a rural area; had developed her fistula as a primigravida during a labor that lasted at least 2 days and which resulted in a stillborn fetus.

Conclusion: Obstetric vesicovaginal fistula is extremely common in north central Nigeria. A complex interaction that involves multiple biologic and socioeconomic factors appears to predispose young women to this devastating childbirth injury.

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