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Table 3 Logistic regression of the failure of fistula closure and incontinence among women with vesicovaginal fistula repaired in three Engenderhealth supported repair hospitals from 2012 to 2013 in Guinea (N = 646)

From: Factors associated with the failure of obstetric fistula repair in Guinea: implications for practice

Variables

Failure of fistula closure (Yes)

Fistula incontinence (Yes)

 

N (%)

Unadjusted OR [95 % CI]

Adjusteda,b OR [95 % CI]

N (%)

Unadjusted OR [95 % CI]

Adjusteda,c OR [95 % CI]

Mean age at presentation (SD), years

38.9 (14.1)

1.02 (1.00–1.04)

1.02 (1.00–1.04)

38.2 (13.6)

1.02 (1.00–1.03)

1.01 (0.99–1.03)

Residence

 Rural

81 (13.4)

1

-

101 (16.7)

1

-

 Urban

6 (14.0)

1.0 (0.4–2.5)

9 (20.9)

1.3 (0.6–2.8)

Marital status

 Married/Union

55 (11.9)

1

1

70 (15.2)

1

1

 Other (single, separated, widow)

29 (16.9)

1.5 (0.9–2.4)

1.1 (0.6–1.9)

36 (21.0)

1.5 (0.9–2.3)

1.2 (0.7–2.1)

Occupation

 Housewife

82 (13.4)

1

-

104 (17.0)

1

-

 Worker

3 (15.8)

1.2 (0.3–4.2)

4 (21.0)

1.3 (0.4–4.0)

Education

 None

79 (13.3)

1.0 (0.4–2.5)

-

102 (17.2)

1.4 (0.6–3.4)

-

 Primary and more

6 (12.8)

1

6 (12.8)

1

Mean parity (SD), deliveries

3.6 (2.8)

0.97 (0.89–1.06)

-

3.5 (2.8)

0.95 (0.87–1.03)

1.00 (0.90–1.11)

Mean duration of labor (SD), years

3.4 (1.6)

1.10 (0.95–1.28)

-

3.4 (1.5)

1.08 (0.95–1.24)

-

Mode of delivery

 Vaginal

65 (15.7)

2.3 (1.3–4.0)

1.9 (1.0–3.6)

80 (19.3)

1.9 (1.1–3.0)

1.5 (0.9–2.6)

 Caesarean section

16 (7.6)

1

1

24 (11.4)

1

1

Neonatal outcome at delivery

 Alive

2 (6.9)

1

-

2 (6.9)

1

1

 Stillborn

82 (13.6)

2.1 (0.5–9.1)

105 (17.5)

2.9 (0.7–12.2)

2.0 (0.4–9.1)

Vaginal scarring

 Yes

56 (16.8)

1.9 (1.1–2.9)

1.2 (0.7–2.0)

73 (21.9)

2.0 (1.3–3.1)

1.3 (0.7–2.1)

 No

31 (10.1)

1

1

37 (12.1)

1

1

Status of the urethra

 Intact

26 (7.6)

1

1

32(9.4)

1

1

 Partially damaged

34 (14.5)

2.1 (1.2–3.5)

2.0 (1.1–5.6)

49 (20.9)

2.6 (1.6–4.1)

2.5 (1.5–4.4)

 Totally damaged

27 (42.9)

9.1 (4.8–17.3)

5.9 (2.9–12.3)

29 (46.0)

8.3 (4.5–15.3)

6.3 (3.0–13.0)

Previous surgical repair

0.83 (0.99)

1.11 (0.90–1.38)

-

0.92 (1.13)

1.23 (1.02–1.48)

1.04 (0.83–1.31)

Year or repair

 2012

62 (15.2)

1.5 (0.9–2.5)

1.0 (0.6–1.8)

78 (19.1)

1.5 (1.0–2.4)

1.0 (0.6–1.6)

 2013

25 (10.5)

1

1

32 (13.4)

1

1

Fistula related post-op complications

 No

84 (13.2)

1

1

107 (16.8)

1

-

 Yes

3 (30.0)

2.8 (0.7–11.1)

2.9 (0.5–15.9)

3 (30.0)

2.8 (0.8–9.8)

 

Repair site

 Jean-Paul 2 Hospital

33 (20.8)

2.7 (1.5–4.7)

2.5 (1.2–4.9)

36 (22.6)

1.6 (1.0–2.6)

1.6 (0.8–3.1)

 Labe regional Hospital

27 (14.8)

1.8 (1.0–3.2)

1.6 (0.9–3.0)

27 (14.8)

1.0 (0.6–1.6)

0.8 (0.5–1.4)

 Kissidougou District Hospital

27 (8.9)

1

1

47 (15.4)

1

1

  1. SD standard deviation, OR odds ratios, CI confidence intervals, N number
  2. aMultivariate analysis adjusting for all confounding factors with p-value < 0.20 in bivariable analysis
  3. bHosmer-Lemeshow test for goodness-of-fit: chi2 (8 d.f.) = 8.9; p = 0.369
  4. cHosmer-Lemeshow test for goodness-of-fit: chi2 (8 d.f.) = 8.2; p = 0.411