Pregnancy after Obstetric Fistula: Should It Be Encouraged?

  • Ranjana Shrestha Kathmandu Model Hospital, Kathmandu, Nepal http://orcid.org/0000-0002-3319-5516
  • Kenusha Devi Tiwari Kathmandu Model Hospital, Kathmandu, Nepal
  • Ganesh Dangal Kathmandu Model Hospital, Kathmandu, Nepal
  • Aruna Karki Kathmandu Model Hospital, Kathmandu, Nepal
  • Hema Pradhan Kathmandu Model Hospital, Kathmandu, Nepal
  • Kabin Bhattachan Kathmandu Model Hospital, Kathmandu, Nepal
  • Rekha Poudel Kathmandu Model Hospital, Kathmandu, Nepal
  • Nishma Bajracharya Kathmandu Model Hospital, Kathmandu, Nepal
  • Sonu Bharati Kathmandu Model Hospital, Kathmandu, Nepal
Keywords: cesarean section, obstetric fistula, pregnancy after fistula

Abstract

Obstetric fistula (OF) is a life-changing morbidity associated with childbirth. It occurs especially after a prolonged obstructed labor and is a major public health problem in the developing countries. The smell of stool and urine leads to the ostracization and rejection of fistula patients by their spouses, families, friends and society in whole. Surgical treatment of fistula is possible. However, this successful outcome of fistula repair surgery is dependent on pre-operative care and the post-operative care such as delaying the commencement of sexual intercourse and delaying conception. Family planning can aid to this. Pregnancy is advised after minimum of 12 months’ post-repair and mode of delivery should be elective cesarean section. Here, we present a case of 23 years’ female, who suffered from obstetric fistula who underwent obstetric fistula repair twice, re-married and conceived after a year with successful elective cesarean delivery.

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Author Biographies

Ranjana Shrestha, Kathmandu Model Hospital, Kathmandu, Nepal

Department of Obstetrics and Gynecology

Kenusha Devi Tiwari, Kathmandu Model Hospital, Kathmandu, Nepal

Department of Obstetrics and Gynecology

Ganesh Dangal, Kathmandu Model Hospital, Kathmandu, Nepal

Department of Obstetrics and Gynecology

Aruna Karki, Kathmandu Model Hospital, Kathmandu, Nepal

Department of Obstetrics and Gynecology

Hema Pradhan, Kathmandu Model Hospital, Kathmandu, Nepal

Department of Obstetrics and Gynecology

Kabin Bhattachan, Kathmandu Model Hospital, Kathmandu, Nepal

Department of Obstetrics and Gynecology

Rekha Poudel, Kathmandu Model Hospital, Kathmandu, Nepal

Department of Obstetrics and Gynecology

Nishma Bajracharya, Kathmandu Model Hospital, Kathmandu, Nepal

Department of Obstetrics and Gynecology

Sonu Bharati, Kathmandu Model Hospital, Kathmandu, Nepal

Department of Obstetrics and Gynecology

Published
2018-12-31
How to Cite
Shrestha, R., Tiwari, K., Dangal, G., Karki, A., Pradhan, H., Bhattachan, K., Poudel, R., Bajracharya, N., & Bharati, S. (2018). Pregnancy after Obstetric Fistula: Should It Be Encouraged?. Nepal Journal of Obstetrics and Gynaecology, 13(3), 56-58. https://doi.org/10.3126/njog.v13i3.23447
Section
Case Reports