Beyond repair - family and community reintegration after obstetric fistula surgery: study protocol

Reproductive Health

Suellen Miller³  Sharon Knight³  Hadija Nalubwama²  Abner Korn³  Elizabeth Butrick³  Felicia Lester³  Justus Barageine¹  Othman Kakaire²  Haruna Mwanje¹  Susan Obore¹  Alison El Ayadi³  Josaphat Byamugisha¹ 

[1]Mulago National Referral and Teaching Hospital, Kampala, Uganda

[2]Department of Obstetrics and Gynecology, Makerere University College of Health Sciences, Kampala, Uganda

[3]Department of Obstetrics, Gynecology and Reproductive Sciences, Bixby Center for Global Reproductive Health, University of California San Francisco, California, USA

关键词: Uganda;    Measurement tool;    Obstructed labor;    Maternal morbidity;    Beyond repair;    Social reintegration;    Obstetric fistula;   

Others  :  1235661
DOI  :  10.1186/s12978-015-0100-1

 received in 2015-09-22, accepted in 2015-11-16,  发布年份 2015

【 摘 要 】

Background

Obstetric fistula is a debilitating birth injury that affects an estimated 2–3 million women globally, most in sub-Saharan Africa and Asia. The urinary and/or fecal incontinence associated with fistula affects women physically, psychologically and socioeconomically. Surgical management of fistula is available with clinical success rates ranging from 65–95 %. Previous research on fistula repair outcomes has focused primarily on clinical outcomes without considering the broader goal of successful reintegration into family and community.

The objectives for this study are to understand the process of family and community reintegration post fistula surgery and develop a measurement tool to assess long-term success of post-surgical family and community reintegration.

Methods

This study is an exploratory sequential mixed-methods design including a preliminary qualitative component comprising in-depth interviews and focus group discussions to explore reintegration to family and community after fistula surgery. These results will be used to develop a reintegration tool, and the tool will be validated within a small longitudinal cohort (n = 60) that will follow women for 12 months after obstetric fistula surgery. Medical record abstraction will be conducted for patients managed within the fistula unit. Ethical approval for the study has been granted.

Discussion

This study will provide information regarding the success of family and community reintegration among women returning home after obstetric fistula surgery. The clinical and research community can utilize the standardized measurement tool in future studies of this patient population.

【 授权许可】

   
2015 Byamugisha et al.

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