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  1. 1

    Eritrean women's project response to wall paper: "hard questions concerning fistula surgery in third world countries" [letter]

    Husain A; Polan ML; Morgan M; Ghebrekidan A

    Journal of Women's Health. 2007 Mar; 16(2):281-282.

    We read with interest Dr. Wall's editorial, "Hard Questions Concerning Fistula Surgery in Third World Countries."1 Dr. Wall has correctly identified the major issues in performing fistula surgery in the developing world, which include adequate preparation and screening of patients, appropriate logistical support (including anesthesia, sutures, catheters, equipment required for complicated vaginal abdominal surgery), and excellent postoperative follow-up, which mandates medical and surgical training for both local physicians and nurses in the hospitals where such surgery is to be performed. Given Dr. Wall's concern about "fistula tourism," we would like to provide the readers of this journal with a more complete description of our program, which has been designed as a sustainable program to address not simply surgical repair but also the issue of prevention, which remains paramount. Prevention is the only way to restore dignity to women of Africa along with the ability to have families without suffering the devastating consequences of obstructed labor. (excerpt)
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  2. 2
    Peer Reviewed

    Publicity will highlight problem of obstetric fistula.

    Cole A

    BMJ. British Medical Journal. 2006 Jul 1; 333(7557):8.

    Hundreds of thousands of women in developing countries suffer the devastating injury during child bearing of obstetric fistula. But the agency behind a global campaign to eradicate the condition says it is simple to prevent and easy to treat. The global campaign, led by the international development agency the United Nations Population Fund, has launched a month long advertising drive in the United Kingdom to raise awareness of a condition that is believed to affect between 50 000 and 100 000 women each year. Obstetric fistula is usually caused by several days of obstructed labour without prompt medical intervention and leaves the woman with agonising, long term pain, chronic incontinence, and--in most cases--a stillborn baby. (excerpt)
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