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Obstetric vesicovaginal fistula as an international public-health problem

Lancet, 2006-09, Vol.368 (9542), p.1201-1209 [Peer Reviewed Journal]

2006 Elsevier Ltd ;2006 INIST-CNRS ;Copyright Lancet Ltd. Sep 30-Oct 6, 2006 ;ISSN: 0140-6736 ;EISSN: 1474-547X ;DOI: 10.1016/S0140-6736(06)69476-2 ;PMID: 17011947 ;CODEN: LANCAO

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Title:
Obstetric vesicovaginal fistula as an international public-health problem
Author: Wall, L Lewis
Subjects: Adolescent ; Adult ; Biological and medical sciences ; Developing Countries ; Female ; General aspects ; Global Health ; Humans ; LDCs ; Maternal Mortality - trends ; Maternal Welfare - statistics & numerical data ; Medical sciences ; Miscellaneous ; Nephrology. Urinary tract diseases ; Obstetric Labor Complications - etiology ; Obstetrics ; Pregnancy ; Public Health - statistics & numerical data ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Socioeconomic Factors ; Urinary Incontinence - etiology ; Urinary system involvement in other diseases. Miscellaneous ; Urinary tract. Prostate gland ; Vesicovaginal Fistula - etiology ; Vesicovaginal Fistula - physiopathology ; Vesicovaginal Fistula - therapy ; Women ; Womens health
Is Part Of: Lancet, 2006-09, Vol.368 (9542), p.1201-1209
Description: Vesicovaginal fistula is a devastating injury in which an abnormal opening forms between a woman's bladder and vagina, resulting in urinary incontinence. This condition is rare in developed countries, but in developing countries it is a common complication of childbirth resulting from prolonged obstructed labour. Estimates suggest that at least 3 million women in poor countries have unrepaired vesicovaginal fistulas, and that 30 000–130 000 new cases develop each year in Africa alone. The general public and the world medical community remain largely unaware of this problem. In this article I review the pathophysiology of vesicovaginal fistula in obstructed labour and describe the effect of this condition on the lives of women in developing countries. Policy recommendations to combat this problem include enhancing public awareness, raising the priority of women's reproductive health for developing countries and aid agencies, expanding access to emergency obstetric services, and creation of fistula repair centres.
Publisher: London: Elsevier Ltd
Language: English
Identifier: ISSN: 0140-6736
EISSN: 1474-547X
DOI: 10.1016/S0140-6736(06)69476-2
PMID: 17011947
CODEN: LANCAO
Source: ProQuest One Psychology
MEDLINE
ProQuest Central

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Obstetric vesicovaginal fistula as an international public-health problem

2006 Elsevier Ltd ;2006 INIST-CNRS ;Copyright Lancet Ltd. Sep 30-Oct 6, 2006 ;ISSN: 0140-6736 ;EISSN: 1474-547X ;DOI: 10.1016/S0140-6736(06)69476-2 ;PMID: 17011947 ;CODEN: LANCAO

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