Table 2 Labour, outcome, fistula characteristics and repair of the 5 mothers diagnosed with vesico-vaginal fistulae in Maputo and Gaza provinces, Mozambique 2016
From: Obstetric fistulae in southern Mozambique: incidence, obstetric characteristics and treatment
Case | Age | Obstetric history | Time taken to | Labour duration | Type of delivery (at the secondary HF) | Fistula description and type (Waaldijk classification) | Assessment of the mechanism of the fistula | Result of surgical repair | Follow up 3 months after the surgery | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
Seek care, from the first pain (Phase I delay) | Identify and reach the primary HF (Phase II delay) | Receive treatment until transfer to the secondary HF (Phase III delay) | Receive treatment at the secondary HF (Phase III delay) | |||||||||
1.DJC | 19 | G1P1 | 7 h | 6 h | ±24ha | No delay | >24 h | C/S | 1 cm, mid-vaginal, non-circumferential involving the proximal urethra (bladder neck) with mild fibrosis (Type IIAa)d | Ischaemic | Closed | Closed and continent |
2.FBM | 27 | G4P4 | 1 h | 2 h | ±16 h | No delay | <24 h | C/S | 1 cm, “high” close to the cervix, intact urethra, mild fibrosis (Type I)e | Iatrogenic? | Not submitted to surgery* | N/A |
3.PJM | 22 | G2P2 | Went to maternity waiting home with 8 months | DK | ±12 hb | ±6 h | >24 h | Vaginal | Mid-vaginal, 1 cm, intact urethra. No fibrosis. (Type I)e | Ischaemic | Closed | Closed and continent |
4.AJZ | 18 | G1P1 | 6 h | 2 h | ±12 h | ±10 h | >24 h | C/S | Punctate 0.5 cm, “high” vaginal, with mild fibrosis. Intact urethra (Type I)e | Combination ischaemic and iatrogenic? | Closed | Did not come for follow up |
5.CCM | 21 | G1P1 | 7 h | 3 h | ±24hc | DK | >24 h | C/S | large calibre, with total urethral damage (Type IIBb)f | Ischaemic | Closed | Closed, but still incontinent |