RESUMO
Obstetric fistulae are still common in the rural areas of South Africa. This study describes the demographic and clinical characteristics of 41 women with obstetric urinary fistulae. All were from poor socioeconomic backgrounds and had limited or no access to antenatal care.
Assuntos
Parto Obstétrico/efeitos adversos , Parto Obstétrico/métodos , Hospitais de Ensino , Fístula Vesicovaginal/diagnóstico , Fístula Vesicovaginal/epidemiologia , Adolescente , Adulto , Feminino , Humanos , Auditoria Médica , Pessoa de Meia-Idade , Complicações do Trabalho de Parto , Paridade , Gravidez , Resultado da Gravidez , África do Sul/epidemiologia , Incontinência Urinária/diagnóstico , Incontinência Urinária/epidemiologia , Incontinência Urinária/cirurgia , Fístula Vesicovaginal/cirurgiaRESUMO
Background. This study describes the demographics and clinical characteristics of women with obstetric fistulas attending the urogynaecological unit at King Edward VIII Hospital (KEH); KwaZulu-Natal (KZN); South Africa. Method. A prospective clinical review of all women admitted with the diagnosis of an obstetric fistula at KEH from 1999 to 2003. Results. A total of 41 cases from the rural areas of KZN and the Eastern Cape were identified. The mean age was 29 years (range 15 - 51 years); and 21 were primi- gravidas; 14 of whom had unplanned pregnancies. All were from low socioeconomic backgrounds and had limited or no access to antenatal care; either due to their social cir- cumstances or to lack of health care facilities. The duration of labour was prolonged in all; there were 5 live births; and 2 neonatal deaths. Conclusion. Obstetric fistulas are still common in KZN and the Eastern Cape; and occur mainly in women from rural areas
Assuntos
Parto Obstétrico , Gestantes , Fístula Urinária/diagnóstico , Fístula Urinária/cirurgiaRESUMO
We reviewed 90 cases of eclampsia, an obstetric emergency associated with high blood pressure and convulsions, treated in two hospitals in Durban, South Africa. We present a protocol for the management of eclampsia based on this review and extensive clinical experience on this subject, which includes hemodynamic stabilization of the mother, prevention of recurrent convulsions, prompt delivery, and intensive monitoring in the immediate post-partum period.
