A psycho-social study on genito-urinary fistula

Area of Science:

• Public Health
• Gynecology
• Sociology

Background:

• Vesico-vaginal fistula (VVF) is a debilitating condition with significant social and psychological consequences.
• Understanding the socio-demographic factors contributing to VVF is crucial for targeted prevention and intervention strategies.

Purpose of the Study:

• To investigate the social factors associated with vesico-vaginal fistula (VVF) in a cohort of 132 patients.
• To evaluate the psycho-social effects of VVF on affected women.

Main Methods:

• A cross-sectional study was conducted on 132 patients diagnosed with vesico-vaginal fistula (VVF).
• Data collection focused on socio-demographic characteristics, obstetric history, healthcare utilization, and psycho-social impact.

Main Results:

• VVF predominantly affected young women (39% aged 15-20) following their first pregnancy, with 54% having no living children.
• Illiteracy (68%) and low family income (52% < Tk. 1,000/month) were prevalent.
• Home deliveries by traditional birth attendants (64.6%) and prolonged labor (72%) were common; many avoided healthcare facilities due to privacy concerns, family objections, or fear of male doctors.
• Consequences included marital discord, disturbed sexual life, poor general health, and social isolation.

Conclusions:

• VVF is strongly linked to socio-economic disadvantages, limited education, and inadequate access to skilled birth attendants.
• The psycho-social impact on women is profound, affecting their individual lives, marriages, and community standing.
• Improving maternal healthcare access, promoting education, and addressing cultural barriers are essential for VVF prevention and management.