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Related Experiment Video

Updated: Jul 12, 2026

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse (POP) Quantification System
03:49

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse (POP) Quantification System

Published on: September 20, 2018

Challenges in measuring obstetric fistula.

C Stanton1, S A Holtz, S Ahmed

  • 1Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland 21205, USA. cstanton@jhsph.edu

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|September 4, 2007
PubMed
Summary

Accurate obstetric fistula data is lacking globally. This study proposes a new method to estimate obstetric fistula incidence and prevalence, addressing a critical public health data gap.

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Area of Science:

  • Public Health
  • Epidemiology
  • Obstetrics and Gynecology

Background:

  • Obstetric fistula is a severe maternal morbidity gaining international attention.
  • There is a significant lack of reliable population-based epidemiologic data on obstetric fistula incidence and prevalence.
  • Current estimates are insufficient for effective public health planning and advocacy.

Purpose of the Study:

  • To assess the current knowledge on population-based estimates of obstetric fistula.
  • To propose a novel method for estimating obstetric fistula incidence and prevalence.
  • To discuss the feasibility of the proposed estimation method.

Main Methods:

  • Review of existing literature on obstetric fistula epidemiology.
  • Proposal of an adaptation of the sibling-based method, typically used for maternal mortality estimation.

Related Experiment Videos

Last Updated: Jul 12, 2026

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse (POP) Quantification System
03:49

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse (POP) Quantification System

Published on: September 20, 2018

  • Development of a series of survey questions and sample size calculations for the proposed method.

    • Main Results:

    • No robust population-based estimates for obstetric fistula incidence or prevalence currently exist.
    • The most rigorous available study was based on only two reported fistula cases.
    • The proposed sibling-based method adaptation offers a potential solution for data collection.

    Conclusions:

    • There is an urgent need for improved epidemiologic data on obstetric fistula.
    • The proposed sibling-based method warrants further research and testing by study groups.
    • For immediate advocacy, the 1990 Global Burden of Disease report estimates are recommended.