SynthesisBMC pregnancy and childbirth2022
Sub-Saharan African women's views and experiences of risk factors for obstetric fistula: a qualitative systematic review.
Synthesis in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Socio-medical consequences of living with obstetric fistula: a phenomenological study of the lived experiences of women in the Tamale Metropolis, Ghana.BMC pregnancy and childbirth · 2026Article
- Deciphering community-level knowledge of obstetric fistula and determinants: perspectives elucidated by ordinal logistic regression.Frontiers in global women's health · 2024Article
- Women's knowledge of symptoms of obstetric fistula, experiences, and associated factors in Sierra Leone.PloS one · 2024Article
- Health-seeking experiences of women with obstetric fistula: a qualitative study at two fistula centres in Ghana.BMJ open · 2023Article
- Article
- Women's views on obstetric fistula risk factors and prevention in north-central Nigeria: an interpretive descriptive study.BMJ open · 2023Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundObstetric fistula used as synonymous with VVF in this study, is an abnormal communication/hole between the urinary tract and the genital tract or the gastrointestinal tract and the genital tract, resulting from prolonged obstructed labour. VVF may cause sufferers to experience chronic urinary/faecal incontinence, and the stigma of continuing foul odour. VVF is primarily caused by prolonged obstructed labour, which is brought about by a range of causes. Recently, it has been proposed that women's groups and fistula survivors should suggest interventions to reduce or prevent the incidence of obstetric fistula.
objectiveThe objective of this review was to synthesise what is reported about women's views and experiences of the risk factors underlying the causes of VVF.
methodsA systematic approach outlined in the Joanna Briggs Institute Manual for Evidence synthesis was followed for this review, articles published since the last 11 years from 2011 to 2021 were selected against several criteria and critically appraised using JBI Critical Appraisal Checklist for qualitative studies.
resultsNine studies were retained for inclusion in this review and the data were then synthesised into five themes: (1) Cultural beliefs and practices impeding safe childbirth, (2) Lack of woman's autonomy in choices of place to birth safely, (3) Lack of accessibility and social support to safe childbirth, (4) Inexperienced birth attendants and, (5) Delayed emergency maternal care (childbirth).
conclusionsThis review highlights the complexity of risk factors predisposing women to the known causes of VVF. It also illuminates the absence of women's voices in the identification of solutions to these risks. Women are most directly affected by VVF. Therefore, their knowledge, views, and experiences should be considered in the development and implementation of strategies to address the issue. Exploring women's views on this issue would enable the identification of gaps in maternity care provision, which would be of interest to community and health service leaders as well as policymakers in Sub-Saharan Africa.
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