Equatorial Guinea - Campaign to End Fistula

TABLE 12:
DISTRIBUTION OF WOMEN LIVING WITH OBSTETRIC FISTULA
ACCORDING TO THE SITE AND DURATION OF DELIVERY
(JUNE 2005)
SITE OF DELIVERY
DURATION OF THE DELIVERY
Unknown 1 - 3 hrs 4 - 8 hrs 9 - 24 hrs 25 - 48 h 49-72 hrs 73-100
hrs
100 hrs + TOTAL
HOME 3 2 3 5 8 4 3 6 34
QUACKERY 0 0 0 0 0 0 0 0 0
TRADITIONAL MIDW 0 0 0 0 2 0 0 0 2
HEALTH POST 0 0 0 0 0 0 0 0 0
HEALTH CENTER 0 0 0 0 0 0 0 0 0
PRIVATE CLINIC 0 0 0 0 0 0 0 1 1
NOT RECORDED 0 0 0 0 0 0 0 0 0
HOSPITAL 1 2 2 6 6 6 0 6 29
GRAND TOTAL 4 4 5 11 16 10 3 13 66
GRAPHIC 12:
DISTRIBUTION OF WOMEN LIVING WITH OBSTETRIC FISTULA, ACCORDING TO THE SITE AND
DURATION OF THE DELIVERY (JUNE 2005)
9
N. Women
8
7
6
5
4
3
2
1
0
Unknown
1 - 3 hrs
4 - 8 hrs
9 - 24 hrs
25 - 48 h
49-72 hrs
73-100
hrs
100 hrs +
HOME
QUACKERY
TRADITIONAL MIDW
HEALTH POST
HEALTH CENTER
PRIVATE CLINIC
NOT RECORDED
HOSPITAL
Sit of delivery
Comments:
Most of the fistula took place in women which delivery delayed more than 25 to 48 hours with 18 cases (24%), followed by
deliveries delayed more than 100 hours with 13 cases (19%). That demonstrates that delayed delivery operations had a great
incidence in obstetric fistula. Hence, the first idea is reinforced to increase progressively institutional deliveries, with strong
recommendation that the delivery assistance personnel be trained on the duration and evolution of deliveries (i.e.: multiparous
delivery duration does not exceed 8 to 12 hours; primiparous should not exceed 12 to 15 hours). As a suggestion, the use of
parthogramme to ensure follow up on parturients during deliveries should apply.
23