Talk:Obstetric fistula

Wiki Education Foundation-supported course assignment

This article was the subject of a Wiki Education Foundation-supported course assignment, between 24 January 2019 and 24 May 2019. Further details are available on the course page. Student editor(s): T.sandzimier.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 05:32, 17 January 2022 (UTC)

start

I noticed these links are non-working or broken right now:

1. http://www.endfistula.org/
2. http://www.unfpa.org/issues/factsheets/fistula_defining.htm
3. http://www.fistulahospital.org/
4. http://usinfo.state.gov/topical/global/immigration/02120901.htm

--Aristoi 15:18, 29 September 2005 (UTC)

Fact and citation check

(Part of the WikiProject Medicine effort)

Lead section

A general medical reference would be helpful; see: http://www.medilexicon.com/medicaldictionary.php?t=33689 and http://www.who.int/making_pregnancy_safer/publications/obstetric_fistula.pdf and http://www.epwg.org/fileadmin/documents/What_is_Obstetric_Fistula.pdf

Symptoms and signs

Needs citations here as well; see: http://www.gfmer.ch/Medical_education_En/PGC_RH_2004/Pdf/Mabeya_Fistula.pdf

Causes

Needs references; see those mentioned above.

Statements such as “Some consider this point to be controversial and see it more as an economic access issue instead of a cultural issue,” “This is an opinion held by both men and women in various parts of the world,” and “In many instances, women do not consider their local hospitals and clinics to be places where they could ever seek such care and therefore do not go when there is an obstetrical emergency” are opinion without supporting citations and should be removed if not referenced.

Under Risk factors,

A 1993 Nigerian study is mentioned with no citation. This should be referenced.

Much of the information in this section should be referenced as it comes across as opinion.

On rape cause, this article can be cited: http://www.nation.co.ke/news/Arrest-ordered-of-teen-rape-suspects/-/1056/2044814/-/9wvss8z/-/index.html — Preceding unsigned comment added by 192.75.88.232 (talk) 15:06, 25 October 2013 (UTC)

Prevention

This section would benefit from mention of the Fistula Care Project, aimed at preventing this disorder: http://www.fistulacare.org/pages/what-is-fistula/prevention.php

I plan to expand this section using information from reports by sources such as the United Nations (http://www.endfistula.org/webdav/site/endfistula/shared/documents/reports/67th%20UNGA%20-%20Report%20of%20the%20Secretary-General%20on%20Supporting%20efforts%20to%20end%20obstetric%20fistula.pdf) and the UNFPA (http://www.unfpa.org/fistula/docs/fistula-needs-assessment.pdf), since only two sources are currently cited. --Kayceeho (talk) 07:40, 4 October 2012 (UTC)

Treatment

Any of the general references mentioned above could be used to provide support for this section.

Surgical statistics should have citations.

The statement “Some women are not candidates for this surgery, but can seek out alternative treatment called a urostomy and a bag for the collection of urine is worn on a daily basis” should provide the reasons why a woman might not be a suitable candidate.

Statements that “Many women report feelings of humiliation, pain, loneliness, shame and mourning for the loss of their lives and the child they lost during delivery” need referencing.

Some sources that may help to support the section's references include

Michael Brodman, et al. "Obstetric Fistula In Low And Middle Income Countries." Mount Sinai Journal Of Medicine 78.3 (2011): 352-361. Academic Search Complete. Web. 20 Sept. 2012.

R.J. Cook, B.M. Dickens, S. Syed, Obstetric fistula: the challenge to human rights, International Journal of Gynecology & Obstetrics, Volume 87, Issue 1, October 2004, Pages 72-77, ISSN 0020-7292, 10.1016/j.ijgo.2004.07.005.

(http://www.sciencedirect.com/science/article/pii/S0020729204002565)

K. Ramsey, Z. Iliyasu, L. Idoko, Fistula Fortnight: Innovative partnership brings mass treatment and public awareness towards ending obstetric fistula, International Journal of Gynecology & Obstetrics, Volume 99, Supplement 1, November 2007, Pages S130-S136, ISSN 0020-7292, 10.1016/j.ijgo.2007.06.034.

(http://www.sciencedirect.com/science/article/pii/S0020729207003864)

The above three sources are published articles that investigate treatment strategies and techniques that are accessible and low-cost. I plan on using these reports to explain treatments specific to countries or programs that have been beneficial in the past. There are several organizations that need to be noted and linked externally that work directly on this issue. These organizations include the Worldwide Fistula Fund, the Fistula Foundation, and the Campaign to End Fistula. Some initiatives have been evaluated and published in scholarly journals. For example, the Fistula Fortnight was a 2-week obstetric fistula treatment project launched by the Campaign to End Fistula in 2005 that successfully treated hundreds of fistula patients in Nigeria and raised awareness on the issue. --User:Kayceeho

History

Needs citations (see one previously provided).

Society and culture

The groups mentioned here should have links to their sites provided: www.un.org/popin/icpd2.htm and www.unfpa.org

The NY Times’ columnist, also mentioned, should have his work cited as well.BSW BV (talk) 13:20, 14 May 2010 (UTC)

New Illustration Added

I created and posted a new medical illustration to accompany the page. I posted it below the main info box containing the original diagram. I welcome any feedback. VHenryArt (talk) 20:17, 11 January 2015 (UTC)

Suggestion of Expansion

Hello! I've noticed that this article describes the physiological aspect of the obstetric fistula quite detail. I believe the information is comprehensive and well-cited. I am hoping to primarily add to the Society and Culture section. The section discusses the UN Millennium Development Goals’ focus on the fistula but does not include the Sustainable Development Goals’ _targets. It also does not discuss policies that countries adopted after the early 2000’s to provide better treatment for fistulas. The list of community organizations providing treatment and advocating on the fistula is also rather brief. I would like to add to this section by discussing organizations and their varied focus on ameliorating the factors surrounding the fistula (lack of resources, stigma, poverty, etc).

SBanda (talk) 00:58, 9 September 2016 (UTC)

Moved here

This is promotional for this charity. Also we need third party independent sources. Doc James (talk · contribs · email) 19:00, 15 May 2018 (UTC)

The editors in question have not responded here yet. User:Studenteditor99 and User:Redorangeyellowgreenblue? Doc James (talk · contribs · email) 21:06, 17 May 2018 (UTC)

They state on my talk page that they are a class of students. You all must still use independent high quality sources. Best Doc James (talk · contribs · email) 18:28, 18 May 2018 (UTC)

Text

The Catherine Hamlin Fistula Foundation was founded by Australian doctor Catherine Hamlin and her husband Reginald in 1974. The organization focuses on three pillars: prevention, education, and treatment. The mission is as follows:

"Hamlin Fistula USA supports world-renowned hospitals that treat women with cutting-edge, compassionate care; a college for midwives who are helping to stop childbirth injuries from happening; and rural healthcare clinics to ensure all mothers can have safe births."

Prevention

Giving birth assisted by a midwife greatly decreases the risk for fistula, so the Hamlin Foundation trains midwives to operate around Ethiopia. Currently, 45 clinics in Ethiopia are staffed with midwives trained in the Hamlin College of Midwives.

Education

The Foundation’s mission for education is tri fold: educating midwives, educating surgeons to treat fistula, and educating the public. Operating out of the Addis Ababa Fistula Hospital, the organization supports the education of obstetricians/gynecologists, urologists, surgeons, physical therapists, and nurses. Hamlin releases videos to educate the public about the risks of unassisted births, and provides physical and emotional care for fistula survivors. Survivors are often ostracized from their communities, so the organization teaches skills like numeracy, handicrafting, and literacy.

Treatment

Hamlin trains more doctors and staff each year to provide the medical and emotional treatment needed to recover from birth injury. Most hospital staff are fistula survivors themselves, so they are able to offer a unique perspective and sense of compassion. Addis Ababa Fistula Hospital has offered free fistula surgery to patients for 45 years. Restorative surgeries cost $500-$1000, so subsidized treatment is life-changing for the patients of Addis Ababa. They are currently building a hospital in Soroti, Uganda. The hospitals also offer cesarean sections for former patients to deliver safely.

Desta Mender

For patients with untreatable conditions requiring continued care, the Hamlin Foundation runs a farm village near Addis Ababa called Desta Mender. Literally translating to “village of joy,” Desta Mender currently hosts fifty permanent residents and preoperative women. The village offers opportunities for education, social connections, and income generation.

Fistula Foundation

Fistula Foundation is a U.S. based organization dedicated to treating obstetric fistula in more than 20 countries throughout sub-Saharan Africa and Southeast Asia. Its CEO is Kate Grant. The organization focuses its funding entirely on treatment, primarily via fistula repair surgeries, which cost as little as $586 on average. Fistula Foundation also funds training for surgeons and fistula care providers, as well as funds to upgrade facilities to enable providers to give the best care possible to women seeking treatment. To date, the organization has funded nearly 18,000 obstetric fistula surgeries since changing its mission in 2009, making it the largest provider of obstetric fistula surgeries of any other organization not accepting government funding.

References

Wikipedia Ambassador Program course assignment

This article is the subject of an educational assignment at Rice University supported by the Wikipedia Ambassador Program during the 2012 Q4 term. Further details are available on the course page.

The above message was substituted from {{WAP assignment}} by PrimeBOT (talk) on 15:56, 2 January 2023 (UTC)