From: Factors associated with the failure of obstetric fistula repair in Guinea: implications for practice
Variables | Hospitals | ||
---|---|---|---|
Total | Jean-Paul II (Conakry) | Labe | Kissidougou |
Fistula repair and care training | |||
Number of Fistula Surgeons | 03 | 03 | 03 |
Number of Nurses and Midwives | 12 | 13 | 07 |
Number of Anesthetists | 02 | 03 | 03 |
Infection prevention training (number of attendees) | 10 | 18 | 16 |
Obstetric care training (number of attendees) | 20 | 17 | 17 |
Workload | |||
Annual number of deliveries | 2024 | 2795 | 2426 |
Annual number of Caesarean sections (%) | 342 (16.9 %) | 762 (27.3 %) | 791 (32.6 %) |
Existence of fistula ward | |||
Yes | Yes | Yes | Yes |
Number of beds dedicated to fistula | 32 | 20 | 14 |
Infection prevention measures | |||
Sterilisation | Yes | Yes | Yes |
Type of sterilisation | Autoclave | Autoclave | Autoclave |
Post-operative antibiotic treatment | |||
Proportion of usea | 95.7 | 100 | 98.7 |
Post-operative fistula related complications (number and %)a | 7 (2.94 %) | 3 (1.51 %) | 5 (1.76 %) |
Status of the urethra | |||
Intact | 130 (56.5 %) | 89 (44.7 %) | 170 (54.5 %) |
Partially damaged | 55 (23.9 %) | 81 (40.7 %) | 128 (41.0 %) |
Totally damaged | 45 (19.6 %) | 29 (14.6 %) | 29 (4.5 %) |
Type of fistula | |||
Vesicovaginal fistula (VVF) | 159 (66.5 %) | 182 (91.5 %) | 305 (96.5 %) |
Rectovaginal fistula (RVF) | 6 (2.5 %) | 5 (2.5 %) | 4 (1.3 %) |
Both VVF and RVF | 73 (31.0 %) | 12 (6.0 %) | 7 (2.2 %) |