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- W4287510140 abstract "Abstract Background The prevalence and impact of fistulas is more common in developing countries with limited access to emergency obstetric care. As a result of fistulas, women in these settings often experience adverse psychosocial factors. The purpose of this study was to describe characteristics of Democratic Republic of Congo (DRC) women who developed urogenital fistula following Cesarean sections (CS) and to determine the characteristics associated with fistula related to obstructed labor or CS. Methods We abstracted data from all patients with urogenital fistula following CS who received care during a DRC outreach surgical campaign. Urogenital fistula etiology was designated as related to (1) prolonged obstructed labor; or (2) a complication of CS. Descriptive analyses characterized patients with fistula related to obstructed labor versus CS. Logistic regression identified factors associated with fistula etiology. Results Among 125 patients, urogenital fistula etiology was attributed to obstructed labor in 77 (62%) and complications following CS in 48 (38%). Women with a fistula attributed to obstructed labor developed the fistula at a younger age (p = .04) and had a lower parity (p = .02). Attempted delivery prior to hospital arrival was associated with an increased risk of obstetric fistula (p < .01). Conclusion CS are commonly performed on women who arrive at the hospital following prolonged obstructed labor and fetal demise, and account for almost 40% of urogenital fistula. Obstetric providers should assess maternal status upon arrival to prevent unnecessary CS and identify women at risk of developing a fistula." @default.
- W4287510140 created "2022-07-25" @default.
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- W4287510140 date "2022-07-25" @default.
- W4287510140 modified "2023-10-18" @default.
- W4287510140 title "Etiology and factors associated with urogenital fistula among women who have undergone Cesarean section in the Democratic Republic of Congo" @default.
- W4287510140 doi "https://doi.org/10.21203/rs.3.rs-1871568/v1" @default.
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