FAQ: Which Of The Following Are Root Causes For The Epidemic Of Fistula Among Rural Women In Ethiopia?

What causes female fistula?

In women, fistulas involving the genital and urinary tracts are the most common and happen due to prolonged or obstructed childbirth, injury during pelvic surgery, infection, inflammation, or radiation treatment in the pelvis or genital area.

What causes fistula during birth?

How Fistula Occurs. An obstetric fistula occurs when a mother has a prolonged, obstructed labor, but doesn’t have access to emergency medical care, such as a C-section. She often labors in excruciating pain for days. Tragically, her baby usually dies.

What is a fistula in Ethiopia?

Obstetric fistula is a degrading condition in which women who suffer traumatising labours are left incontinent and often ostracised by their community. The fistula patients are the survivors of an obstructed labour, many don’t survive. The maternal death rate in Ethiopia is one of the highest in Africa.

How does obstructed Labour cause fistula?

The best known, and most common, of these injuries is obstetric fistula formation. When obstructed labor is unrelieved, the presenting fetal part is impacted against the soft tissues of the pelvis and a widespread ischemic vascular injury develops that results in tissue necrosis and subsequent fistula formation.

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Can you live with a fistula?

The good news is that lots of fistulas are completely resolved via surgery. However, depending on the location, they can reoccur. There are plenty of options if surgery isn’t successful for you at first. Some find it manageable to live with their fistula long term, and it’s possible to keep a seton for many years.

What happens if a fistula is left untreated?

Fistulas can cause a lot of discomfort, and if left untreated, may cause serious complications. Some fistulas can cause a bacteria infection, which may result in sepsis, a dangerous condition that can lead to low blood pressure, organ damage or even death.

What is the main cause of fistula?

Fistulas are usually caused by injury or surgery, they may also form after an infection has led to severe inflammation. Inflammatory bowel conditions such as Crohn’s Disease and Ulcerative Colitis are examples of conditions that lead to fistulas forming, for example, between two loops of intestine.

Why does fistula happen?

An anal fistula most often happens from an anal gland that has developed a pus-filled infection (abscess). A fistula can also happen with certain conditions such as Crohn’s disease. Or it may happen after radiation therapy for cancer. Injury to the anal canal and surgery can also cause anal fistulas.

What color is fistula drainage?

Assess and document the type of fistula drainage. The odor, color, and consistency of drainage helps you determine the fistula’s origin; this, in turn, allows you to design an appropriate pouching system. In Ms. Bach’s case, the drainage is liquid, and its green color indicates it’s from the small intestine.

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Who is the first female doctor in Ethiopia?

Catherine Hamlin
Died 18 March 2020 (aged 96) Addis Ababa, Ethiopia
Nationality Australian
Occupation Obstetrician
Awards Right Livelihood Award

How many hospitals are in Addis Ababa?

The Addis Ababa city health administration is divided in to 10 administrative zones and has the facility of 5 public and 25 private hospitals.

What is a Viginal fistula?

A vaginal fistula is an abnormal opening that connects your vagina to another organ, such as your bladder, colon or rectum.

How does fistula look like?

An anorectal or anal fistula is an abnormal, infected, tunnel- like passageway that forms from an infected anal gland. Sometimes an anal fistula works its way from an internal gland to the outside of the skin surrounding the anus. On the skin, this looks like an open boil.

What are the signs of obstructed Labour?

A key sign of an obstructed labour is if the widest diameter of the fetal skull remains stationary above the pelvic brim because it is unable to descend. You should be able to detect this by careful palpation of the mother’s abdomen as the uterus relaxes and softens between contractions.

Can childbirth cause fistula?

Obstetric fistula is a medical condition in which a hole develops in the birth canal as a result of childbirth. This can be between the vagina and rectum, ureter, or bladder. It can result in incontinence of urine or feces.

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