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Fertility desires and sexual behaviours among women recovering from genital fistula repair in Eldoret, Kenya.
Wilson, Susan F; Alway, Jessica; Hotchkiss, Emily; Aluku, Carolyne; Matityahu, Debra; Mabeya, Hillary; El Ayadi, Alison M.
Afiliação
  • Wilson SF; Capital Ob Gyn, Sacramento, California, USA.
  • Alway J; Division of General Internal Medicine, University of California San Francisco, San Francisco, California, USA.
  • Hotchkiss E; Institute for Global Health Sciences, University of California San Francisco, San Francisco, California, USA.
  • Aluku C; Gynocare Women's and Fistula Hospital, Eldoret National Polytechnic, Eldoret, Kenya.
  • Matityahu D; Department of Obstetrics and Gynecology, Kaiser Permanente Redwood City, Redwood City, California, USA.
  • Mabeya H; Department of Reproductive Health, Moi University School of Medicine, Gynocare Women's and Fistula Hospital, Eldoret, Kenya.
  • El Ayadi AM; Department of Obstetrics, Gynecology and Reproductive Sciences, University of California San Francisco, San Francisco, California, USA.
Trop Med Int Health ; 29(2): 144-151, 2024 02.
Article em En | MEDLINE | ID: mdl-38069534
OBJECTIVES: The reproductive desire of women following genital fistula repair surgery is complex, varied and often not addressed, although it carries significant consequences. The aim of this study was to better understand the fertility desires and sexual behaviours of women who recently underwent surgical repair of a genital fistula. METHODS: This is a secondary analysis of a retrospective cohort study designed to assess the effectiveness of Beyond Fistula, a reintegration programme for women recovering from genital fistula surgery in Eldoret, Kenya. One hundred women who participated in the Beyond Fistula programme between 2013 and 2019 were interviewed in person regarding future fertility desire, current sexual behaviour and contraceptive use. RESULTS: Among the 79 reproductive-aged women included in this study, 63.3% reported no future desire for pregnancy. Those that desired another pregnancy were significantly younger (48.3% were 18-29 years old vs. 66.0% were 35 years old or more, p = 0.004), had fewer living children (70% had 0-2 children vs. 56% had 3 or more children, p < 0.001), and a lower level of food insecurity (27.6% reported no to marginal insecurity vs. 14%, p = 0.014). Current sexual activity was marginally different between women who did and did not desire future pregnancy (82.8% vs. 66.0%, p = 0.053). Of the 50 women in our study who did not desire pregnancy, 62.0% were sexually active and of these, only 38.7% were preventing pregnancy. Lack of knowledge and access to methods were most commonly cited as barriers to use. CONCLUSIONS: Many women recovering from genital fistula surgery do not desire pregnancy and are sexually active but are not using a method to prevent pregnancy. The potential for post-surgical reintegration programmes to address education and access to contraception is a vital and unmet need to promote reproductive empowerment in this population of women as they reestablish their lives.
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Texto completo: 1 Bases de dados: MEDLINE Assunto principal: Fertilidade / Fístula Limite: Adolescent / Adult / Child / Female / Humans / Pregnancy País/Região como assunto: Africa Idioma: En Revista: Trop Med Int Health Assunto da revista: MEDICINA TROPICAL / SAUDE PUBLICA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Bases de dados: MEDLINE Assunto principal: Fertilidade / Fístula Limite: Adolescent / Adult / Child / Female / Humans / Pregnancy País/Região como assunto: Africa Idioma: En Revista: Trop Med Int Health Assunto da revista: MEDICINA TROPICAL / SAUDE PUBLICA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Estados Unidos