Obstetric Fistula Overview

How many women are estimated to be living with obstetric fistula?

Approximately one million
Approximately four million
Approximately three million
Approximately two million (correct)

Where is obstetric fistula most prevalent?

Developed countries in Europe and North America
Developing countries in Africa and Asia (correct)
Countries in South America and Australia
Island nations in the Pacific

What is obstetric fistula?

A hole between a woman's genital tract and either the urinary or the intestinal tract (correct)
A risk factor for childbirth
A type of pregnancy complication
A procedure for childbirth

Why is knowing the risk factors for obstetric fistula important?

To prevent the occurrence of obstetric fistula (D) Signup and view all the answers

What is the 'fistula belt'?

A region across sub-Saharan Africa, the Middle East and southern Asia prone to obstetric fistula (C) Signup and view all the answers

What percentage of obstetrical fistulae cases in Zambia occurred following labor for more than 24 hours?

95.5% (B) Signup and view all the answers

What is a primary risk factor for obstetrical fistula?

Lack of prenatal care (A) Signup and view all the answers

What percentage of fistula cases in northern Ethiopian women did not have any antenatal care?

92% (D) Signup and view all the answers

What is the first step in the Obstetric Fistula Assessment and Counseling procedure?

Greets and welcomes patient (A) Signup and view all the answers

What is the purpose of the partograph in labor?

To monitor the duration of labor (B) Signup and view all the answers

What percentage of fistula patients in a Niger series delivered at home?

85% (C) Signup and view all the answers

What should a counselor consider when discussing a patient's health situation?

The patient's preference or most urgent need (C) Signup and view all the answers

How can a counselor tailor information to a patient's needs?

By using words familiar to the patient (C) Signup and view all the answers

What is the purpose of asking open-ended questions?

To verify the patient's understanding of important information (D) Signup and view all the answers

Why should a counselor correct false information and rumors?

To provide accurate information and alleviate fears (B) Signup and view all the answers

What should a counselor do if a patient is unsure about proceeding with referral for fistula surgery?

Make a return appointment to discuss further (B) Signup and view all the answers

What is the counselor's role in the decision-making process?

To provide information and support to help the patient make a decision (C) Signup and view all the answers

What does the healthcare professional do after performing the physical exam?

Counsels the patient on obstetric fistula post-repair (C) Signup and view all the answers

Why does the healthcare professional maintain privacy during the assessment?

To maintain confidentiality (B) Signup and view all the answers

What does the healthcare professional do before performing the physical exam?

Wears gloves and washes hands (C) Signup and view all the answers

Why does the healthcare professional encourage questions from the patient?

To ensure the patient's understanding and comfort (C) Signup and view all the answers

What does the healthcare professional do after counseling the patient?

Thanks the patient for coming (B) Signup and view all the answers

What does the healthcare professional do before counseling the patient?

Performs a physical exam (A) Signup and view all the answers

What is recommended to all women after a repair?

To abstain from genital sexual relations for three months (C) Signup and view all the answers

Why may cesarean birth be recommended?

To prevent obstetric fistulas from reopening (C) Signup and view all the answers

What is assessed during a consultation?

Client's past experience with family planning (B) Signup and view all the answers

Why is it recommended to delay pregnancy after a repair?

To allow the body to heal (C) Signup and view all the answers

What is advised to regain strength in the bladder and pelvis?

Pelvic muscle exercises (D) Signup and view all the answers

Where should the delivery of the next child take place?

At a hospital with emergency obstetric care (A) Signup and view all the answers