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Tropical Journal of Obstetrics and Gynaecology

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After the Repair, What Next? Reproductive Health Expectations of Vesico-Vaginal Fistula(VVF) Patients in Southeast Nigeria

UM Agwu, OUJ Umeora, JA Obuna, LHI Wara

Abstract


Background: Reproduction occurs under conditions that threaten the life and well-being of women resulting in a very high level of maternal mortality and morbidity. Prominent among these morbidities is obstetric fistula which when occurs threatens the reproductive health of the . woman
Aim and Objective: To examine the reproductive health expectations of women who had successful Obstetric VVF repair in South East Nigeria.
Methods: A qualitative study based on an in-depth interview was conducted of six successfully repaired post vvf repair women at the South East Fistula Centre.
Results: Six women who had successful repair of their fistulae participated in the in depth interview. Their mean age was 28.7+ 6.4 years (2SD). Majority belonged to low social economic class. Their VVF resulted from prolonged obstructed labour and they were well aware of this. All participants had established mentrual function during the period of the condition. Five desired future pregnancy would gladly access prenatal care in their next pregnancy in a modern health facility and would also accept Caesarean delivery. None will attempt vaginal birth.



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