Evidence map›Paper›PMID 35178255›Full record

ArticleRehabilitation research and practice2022

Long-Term Effects of Obstetric Fistula on the Overall Quality of Life among Survivors Who Had Undergone Obstetric Fistula Repair, Central Gondar Zone, Northwest Ethiopia, 2020: A Community-Based Study.

Getie Lake Aynalem, Belayneh Ayanaw Kassie, Chernet Baye, Animut Tagele Tamiru, Kiber Temesgen Anteneh, Aster Berhe, Wagaye Fentahun, Tibeb Zena Debele, Birhanu Wubale Yirdaw, Bayew Kelkay Rade and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Rehabilitation research and practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Enhanced surgical management of complex anal fistulasWorld journal of gastrointestinal surgery · 2025
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Getie Lake AynalemSchool of Midwifery, University of Gondar, Gondar City, Ethiopia.ORCID https://orcid.org/0000-0001-8010-7497
Belayneh Ayanaw KassieSchool of Midwifery, University of Gondar, Gondar City, Ethiopia.ORCID https://orcid.org/0000-0003-1118-2674
Chernet BayeDepartment of Gynecology/Obstetrics, University of Gondar, Gondar City, Ethiopia.
Animut Tagele TamiruSchool of Midwifery, University of Gondar, Gondar City, Ethiopia.
Kiber Temesgen AntenehSchool of Midwifery, University of Gondar, Gondar City, Ethiopia.
Aster BerheUNFPA, Addis Ababa City, Ethiopia.
Wagaye FentahunUNFPA-Supported Maternal Health Project, University of Gondar, Gondar City, Ethiopia.
Tibeb Zena DebeleSchool of Midwifery, University of Gondar, Gondar City, Ethiopia.
Birhanu Wubale YirdawSchool of Midwifery, University of Gondar, Gondar City, Ethiopia.ORCID https://orcid.org/0000-0003-0378-7630
Bayew Kelkay RadeSchool of Midwifery, University of Gondar, Gondar City, Ethiopia.
Mihretu Molla EnyewSchool of Midwifery, University of Gondar, Gondar City, Ethiopia.ORCID https://orcid.org/0000-0001-8051-7779
University of Gondar · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChildbirth is a special time in the lives of women and families at large. It can also be a time of great tragedy. International reports show that, annually, more than 500,000 women die from pregnancy and childbirth complications globally. For every woman who dies in childbirth, majorities remain alive, but scarred by permanent disabilities. Obstetric fistula is, without a doubt, the most severe of pregnancy-related disabilities.

objectiveThis research is aimed at assessing the long-term effects of obstetric fistula on the overall quality of life among fistula survivors in central Gondar zone.

methodsA community-based cross-sectional study was conducted among women who had undergone obstetric fistula repair, 1-4 years after the surgery, in the central Gondar zone. The participants were reached through appointments that were made by the researchers using census approach after having the participants' contact lists (specific residence and cell phone numbers), and research interviews have taken place at the respondents' home or residence using an adapted and validated tool. Data entry and analysis were done using Epi Info version 7 and SPSS version 20, respectively.

resultsA total of 182 fistula survivors were interviewed giving a 94.8% response rate. This study indicated that 84.1% (95% CI: 78.8, 89.4) of respondents had a poor overall quality of life. Maternal age (>30 years) (AOR = 3.8, 95% CI: 2.6, 12.3), marital status (divorced survivors) (AOR = 2.7, 95% CI: 1.3, 8.5), and urinary incontinence (AOR = 1.9, 95% CI: 2.4, 11.2) were positive predictors for poor overall quality of life. The majority of fistula survivors, 82.4%, were stigmatized which could make reintegration into the community challenging for them. Healthcare providers have to implement counseling to women for social reintegration and the possibility of gainful societal activities after repairing.

Identifiers

PMID35178255
PMCPMC8846977
OpenAlexW4210933945

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.