ArticleAJOG global reports2025
Pregnancy outcomes following surgical repair of female genital fistula in Uganda.
Article in AJOG global reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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Who cites it
2 citing papers in PubMed.
- Counseling strategies and challenges for addressing infertility and infertility concerns following female genital fistula repair: perspectives from fistula care providers in Uganda.BMC women's health · 2026Article
- Patient Counseling Strategies at Female Genital Fistula Repair: A Qualitative Study among Ugandan Fistula Care Providers.Research square · 2025Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Women developing genital fistula and undergoing fistula repair in sub-Saharan Africa and South Asia are largely of reproductive age, and fistula prevalence is highest in countries with high fertility and where social values are placed on childbearing. Optimizing women's health following female genital fistula and surgical repair requires further understanding of the risks to subsequent pregnancies and how to mitigate them, to enable women to achieve their desired family size without additional morbidity. Objective: We sought to contribute to the postfistula repair evidence base through estimating rates of spontaneous abortion and stillbirth as well as the associated risk factors of these adverse outcomes in pregnancies following fistula repair. Methods: We captured data on sociodemographic characteristics, obstetric and fistula history, and pregnancy and childbirth care and experiences, and outcomes for the first postrepair pregnancy from 302 women who became pregnant within 10 years following genital fistula repair, recruited from six fistula repair facilities in Uganda. We described sociodemographic characteristics, spontaneous abortion (pregnancy loss <20 weeks gestational age), and stillbirth (intrauterine fetal death at ≥20 weeks gestational age) and determined factors associated with these outcomes using logistic regression. We compared outcomes to two external data sources: a meta-analysis and propensity-score matched Ugandan women of reproductive-age. Results: Overall, 14% (43/302) of the participants had spontaneous abortions and 5% (12/255) had stillbirths in postrepair pregnancies. The spontaneous abortion rate in our study was higher compared to a recent meta-analysis; however, the stillbirth rate was not. The stillbirth rate in our study was 2.5 percentage-points higher compared to the general population (95% CI 0.2-4.9, Conclusion: Our results demonstrate that in the study setting, greater attention to high-quality, comprehensive pregnancy care and birth planning are critical for improving outcomes among women who have undergone fistula repair, including facilitation of elective cesarean section which is recommended for postrepair births. Additional investments must be made to strengthen women's health access and knowledge that supports their postfistula repair reproductive goals.
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