A Multidisciplinary Approach to Obstetric Fistula in Africa

ISBN-13: 9783031063169 / Angielski / Miękka / 2023

Opis

This book applies a multi-disciplinary lens to examine obstetric fistula, a childbirth injury that results from prolonged, obstructed labor. While obstetric fistula can be prevented with emergency obstetric care, it continues to occur primarily in resource-limited settings. In this volume, specialists in the anthropological, psychological, public health, and biomedical disciplines, as well as health policy experts and representatives of governmental and non-governmental organizations discuss a scoping overview on obstetric fistula, including prevention, treatment, and reducing stigma for survivors. 

 

This comprehensive resource is useful in understanding the risk factors, epidemiology, and social, psychological, and medical effects of obstetric fistula.

Topics explored include:

• A Human Rights Approach Toward Eradicating Obstetric Fistula
• Obstetric Fistula: A Case of Miscommunication – Social Experiences of Women with Obstetric Fistula
• Classification of Female Genital Tract Fistulas
• Training and Capacity-Building in the Provision of Fistula Treatment Services
• Designing Preventive Strategies for Obstetric Fistula
• Sexual Function in Women with Obstetric Fistula
• Social and Reproductive Health of Women After Obstetric Fistula Repair
• Making the Case for Holistic Fistula Care
• Addressing Mental Health in Obstetric Fistula Patients
• Physical Therapy for Women with Obstetric Fistula

A Multidisciplinary Approach to Obstetric Fistula in Africa is designed for professional use by NGOs, international aid organizations, governmental and multilateral agencies, healthcare providers, public health specialists, anthropologists, and others who aim to improve maternal health across the globe. Although the book’s geographic focus is Africa, it may serve as a useful resource for individuals who aim to address obstetric fistula in other settings. The book may also be used as an educational tool in courses/programs that focus on Global Health, Maternal and Child Health, Epidemiology, Medical Anthropology, Gender/Women's Studies, Obstetrics, Global Medicine, Nursing, and Midwifery.

Spis treści

Foreword

Hon. Edna Adan Ismail

 

Acknowledgements

 

Part I. Obstetric Fistula

Chapter 1. Introduction to Obstetric Fistula: A Multidisciplinary Approach to a Preventable Childbirth Tragedy

Bonnie Ruder, Laura Briggs Drew, and David A. Schwartz

 

Chapter 2. A Human Rights Approach Toward Eradicating Obstetric Fistula: Expanding Data Collection, Prevention, Treatment, and Continuing Support for Women and Girls Who Have Been Neglected

Laura Briggs Drew

 

Chapter 3. Archaeological Basis for Obstetrical Fistula: A Condition that Is as Ancient as Human Themselves

David A. Schwartz

 

Chapter 4. Obstetric Fistula in Context

L. Lewis Wall

 

Chapter 5. Co-occurrence of Obstetric Fistula and Stillbirth in Sub-Saharan Africa

Karen D. Cowgill

 

Chapter 6. A Multidisciplinary Approach to Obstetric Fistula in Africa: Public Health, Sociological and Medical Perspectives

Tina Lavender, Sabina Wakasiaka and Weston Khisa

 

Chapter 7. Women Who Lose Their Lives While Giving Life: Exploring Obstetric Fistula as a Public Health Problem in Kenya

Kathomi Gatwiri

 

 

Part II: Perspectives and Experiences from Women and Girls with Obstetric Fistula

 

Chapter 8. Obstetric Fistula: A Case of Miscommunication – Social Experiences of Women with Obstetric Fistula

Marielle E. Meurice, Saifuddin Ahmed, and René Génadry

 

Chapter 9. The Experience of Childbirth and Obstetric Fistula: Perspectives of Women in Northern Ghana

F. Beryl Pilkington, Prudence Mwini-Nyaledzigbor, and Alice Abokai Agana

 

Chapter 10. The Experiences of Women Living with Obstetric Fistula in Burkina Faso: From Delivery to Social Reinsertion

Marie-Eve Paré, Julie Désalliers, Laurence Bernard, Salam Kouraogo, and Jacques Corcos

 

Chapter 11. Girls’ and Women’s Social Experiences with Obstetric Fistula in Tanzania: A Public Health Problem

Stella Masala Mpanda and Lilian Teddy Mselle

 

Chapter 12. Physical, Psychological and Social Assessments of Fistula Recovery Among Women in Nigeria and Uganda

Beth S. Phillips, Justus K. Barageine, Dorothy N. Ononokpono, and Alison M. El Ayadi

 

Chapter 13. Socioeconomic and Healthcare Causes of Obstetric Fistula in Tanzania: Perspectives from the Affected Women

Lilian Teddy Mselle and Stella Masala Mpanda

 

Chapter 14. Health-Seeking Behavior Among Women with Obstetric Fistula in Ethiopia

Jordann Loehr, Heather Lytle, and Mulat Adefris

 

 

Part III. Fistula Treatment, Management, and Models of Care

 

Chapter 15. Classification of Female Genital Tract Fistulas

Judith T. Goh and Hannah G. Krause

 

Chapter 16. Surgical Treatment for Obstetric Fistula: Not an Easy Option

Andrew Browning

 

Chapter 17. Obstetric Vesicovaginal Fistula: Development of a Predictive Score of Failed Surgical Repair

Joseph B. Nsambi, Olivier Mukuku, Propser L. Kakudji, Jean-Baptiste S.Z. Kakoma

 

Chapter 18. Training and Capacity-Building in the Provision of Fistula Treatment Services: The FIGO Fistula Surgery Training Initiative

Gillian Slinger and Lilli Trautvetter

 

Chapter 19. Medical and Surgical Challenges and Opportunities for Treatment at the Aberdeen Women’s Centre in Sierra Leone

Ennet Banda Chipungu

 

Chapter 20. Comparing Three Models of Fistula Care Among Five Facilities in Nigeria and Uganda

Pooja Sripad, Caroline Johnson, Vandana Tripathi, and Charlotte E. Warren

 

Chapter 21. Obstetric Fistula in the Democratic Republic of the Congo: Neglected Care of Young Women in Rural Areas

Joseph B. Nsambi, Olivier Mukuku and Jean-Baptiste S.Z. Kakoma

 

Chapter 22. Therapeutic Management of Obstetric Fistula: Learning from Implementation of Insertable Devices to Improve the Health and Well-Being of Women and Girls in Low- and Middle-Income Countries

Nessa Ryan and Ann E. Kurth

 

Chapter 23. The Aberdeen Women’s Centre: Providing Care for Girls and Women with Fistula and Other Conditions in Sierra Leone

Ivy Kalama

 

Part IV: Beyond Surgery—Preventing Obstetric Fistula and Addressing Its Many Consequences

 

Chapter 24. Height and External Measurement of Pelvic Diameters to Predict Obstetric Fistula in Congolese Women: A Case-control Study

Joseph B. Nsambi, Olivier Mukuku, Xavier K. Kinenkinda, Propser L. Kakudji, Robert Andrianne, Jean-Baptiste S.Z. Kakoma

 

Chapter 25. Designing Preventive Strategies for Obstetric Fistula: Evidence from a Survey Conducted Among Rural and Urban Women in Burkina Faso

Aduragbemi Banke-Thomas

 

Chapter 26. Sexual Function in Women with Obstetric Fistula

Rachel Pope

 

Chapter 27. Social and Reproductive Health of Women After Obstetric Fistula Repair: Insights from Guinea

Alexandre Delamou

 

Chapter 28. Urinary Incontinence Following Obstetric Fistula Surgery

Hannah G. Krause and Judith T. Goh

 

Chapter 29. A Multidisciplinary Approach to Obstetric Fistula in Northern Ghana: “Not Counted Among Women”

Kimberly Jarvis, Helen Vallianatos, Solina Richter, and Priscilla N. Boakye

 

Chapter 30. Making the Case for Holistic Fistula Care: Implementation of a Model Reintegration Program in Uganda

Bonnie Ruder and Alice Emasu

 

Chapter 31. Addressing Mental Health in Obstetric Fistula Patients: Filling the Void

Meghan Beddow and Mary J. Stokes

 

Chapter 32. Physical Therapy for Women with Obstetric Fistula

Theresa Spitznagle

 

Chapter 33. Comprehensive Pelvic Floor Health: Beyond the “Hole” in the Wall

Rahel Nardos and Laura Jacobson

O autorze

Laura Briggs Drew, PhD, MPH received her PhD in Maternal and Child Health from the University of Maryland (UMD) School of Public Health in College Park. She was appointed as a Maternal and Child Health Student Fellow with the American Public Health Association in 2016-2017. Laura completed her Master of Public Health in Epidemiology and Interdisciplinary Specialization in Global Health at The Ohio State University. Prior to UMD, she worked with University of North Carolina Project-Malawi on various research studies that aimed to improve the quality of life for women with obstetric fistula at the Freedom from Fistula Foundation’s Fistula Repair Centre at Bwaila Hospital in Lilongwe, Malawi. Laura’s primary research interests focus on the intersection of human rights and reproductive, maternal, and child health outcomes. Her research focuses on birth outcomes, intimate partner violence, female genital cutting, sexual health, infertility, infectious diseases, and gender inequality. Laura’s research has been published in numerous public health journals, including Women’s Reproductive Health, BMC Pregnancy and Childbirth, American Journal of Preventive Medicine, PLOS Neglected Tropical Diseases, and Journal of Women’s Health. Laura’s work has received support and recognition from multiple institutions, including the Maryland Population Research Center and the Delta Omega Honorary Society in Public Health.

Bonnie Ruder, PhD, MPH, CPM holds a PhD in Applied Medical Anthropology and a Master in Public Health in International Health from Oregon State University. She is the co-founder and Executive Director of Terrewode Women’s Fund, a US-based non-profit organization; a senior research consultant with the International Fistula Alliance; and sits on the Board of Governors for Terrewode Women’s Community Hospital. She conducts research on maternal health and obstetric fistula and has worked on projects in Uganda, Somalia, The Gambia, Zimbabwe and the USA. Her research focuses on obstetric fistula, residual incontinence post-fistula repair, maternal and infant health, reproductive justice, traditional birth attendants, social justice and systems of oppression, and community-engaged research. Bonnie is a licensed midwife with over 20 years’ experience, working primarily in the USA. She has also attended births in Haiti after the 2010 earthquake and at a referral hospital in Soroti, Uganda. Her current research examines the COVID-19 pandemic’s impact on gender and maternal health in Uganda.

David A. Schwartz, MD, MS Hyg, FCAP has an educational background in Anthropology, Medicine, Emerging Infections, Maternal Health, and Medical Epidemiology & Public Health. He has professional and research interests in reproductive health, diseases of pregnancy, and maternal and infant morbidity and mortality in both resource-rich and resource-poor countries. In the field of Medicine, his subspecialties include Obstetric, Placental & Perinatal Pathology as well as Emerging Infections. An experienced author, editor, investigator and consultant, Dr. Schwartz has long experience investigating the anthropological, biomedical and epidemiologic aspects of pregnancy and its complications as they affect society, in particular among indigenous populations and when they involve emerging infections. Dr. Schwartz has been a recipient of many grants, was a Pediatric AIDS Foundation Scholar, and has organized and directed national and international projects involving maternal health, perinatal infectious diseases, and placental pathology for such agencies as the US Centers for Disease Control and Prevention, National Institutes of Health, and the United States Agency for International Development, as well as for the governments of other nations. He has published 3 previous books on pregnancy-related morbidity and mortality, the first in 2015 entitled Maternal Mortality: Risk Factors, Anthropological Perspectives, Prevalence in Developing Countries and Preventive Strategies for Pregnancy-Related Deaths; a book published in 2018 entitled Maternal Death and Pregnancy-Related Morbidity Among Indigenous Women of Mexico and Central America: An Anthropological, Epidemiological and Biomedical Approach; and in 2019 a book entitled Pregnant in the Time of Ebola. Women and Their Children in the 2013-2015 West African Epidemic.  Dr. Schwartz is the editor of the Springer book series Global Maternal and Child Health: Medical, Anthropological and Public Health Perspectives, of which this book is a volume. He has been involved with maternal, fetal and neonatal aspects of such epidemic infections as HIV, Zika and Ebola viruses, and is currently researching these issues with the COVID-19 pandemic. Dr. Schwartz serves on the Editorial Boards of several international journals and was formerly Clinical Professor of Pathology at the Medical College of Georgia of Augusta University in Augusta, Georgia.