In:
African Journal of Midwifery and Women's Health, Mark Allen Group, Vol. 11, No. 4 ( 2017-10-02), p. 176-180
Abstract:
Obstetric fistula is caused by prolonged obstructed labour, and affects about 1% of women in Kenya. Although early treatment is recommended, women live with the condition for many years and endure physical, psychological and social suffering. Aims: To document the experiences of women with fistula illness. Methods: Using grounded theory methodology, narratives focusing on labour and childbirth were obtained from a purposive sample of 121 patients with obstetric fistula in 3 hospitals in Kenya. Narratives were analysed using a three-dimensional framework: Interaction, Continuity and Place. Findings: Six emergent themes predicting occurrence of fistula were identified. These were: people who assisted the labour process (interaction); time spent in labour; birth outcomes for baby (continuity); mode of delivery; referral of women in obstructed labour; and place of delivery. Conclusions: These findings have potential to inform the development of a midwifery early screening intervention for fistula care in Kenya.
Type of Medium:
Online Resource
ISSN:
1759-7374
,
2052-4293
DOI:
10.12968/ajmw.2017.11.4.176
Language:
English
Publisher:
Mark Allen Group
Publication Date:
2017
