The United States Agency for International Development [USAID], in collaboration with the Federal Ministry of Health and the Ministry of Women's Affairs, estimates that between 160,000 and 200,000 women suffer from vaginal vagina [VVF] each year. Bladder vaginal fistula and rectal vaginal fistula [RVF] are continuous unintentional discharges of urine [urinary incontinence] due to tissue rupture between the vaginal wall and the bladder or rectum due to unresolved obstruction during childbirth. The consequences associated with these conditions may also include dermatitis, erosion of the skin and other tissues in the vulva and vagina, and leakage of urine and feces. In addition, in extreme cases, the nerves of the lower extremities may be damaged, which may result in loss of coordination.
Historically, VVF cases can be traced back to the earliest human existence. Between the 17th and 19th centuries, this is a particularly embarrassing problem in most parts of the developed world. In fact, in 1855, the world's first VVF specialist hospital was established in New York, United States of America. VVF is a social and economic scourge all over the world, because many women in this situation are seen as social abandonment and deprived of their basic rights and privileges to stay on the streets or away from the ridiculous places of family and associates. .
In most cases of VVF, there is a fatal obstruction during childbirth, resulting in prolonged delivery, as the unborn child is pressed against the pelvis, cutting off blood flow to the vaginal wall of the bladder, which kills the tissue and forms hole. According to experts, 90% of VVF is caused by unattended labor and is usually the first woman to give birth.
In Nigeria alone, VVF causes more than 55%-60% of divorce cases because VVF patients are covered by unpleasant odors caused by the stench of the condition. Because of the small size of the pelvis, adolescents are highly susceptible to VVF. This is why it is very common in the northern part of the country. Early marriage is a norm that naturally leads to early pregnancy of young brides. A VVF expert in the area investigated how many young girls lost their lives during childbirth, and those girls who survived the ordinal were almost unable to become pregnant again. Nigeria is said to account for 40% of the world's VVF cases. This makes it a very important health issue in the country.
Experts believe that the main reason for VVF is illiterate because it is very prominent in rural areas, which are full of uneducated women who have little or no access to information and adequate health care services. Recent studies have shown that most women prefer to give birth in traditional obstetric centers rather than in appropriate health facilities. This is one of the biggest reasons for the high rate of VVF in Nigeria, because well-equipped and unskilled medical staff are more likely to tear their uterus, put pressure on their abdomen and make many other unhealthy choices. The 2012 National Population Health Survey estimates that more than 12,000 women in the United States each year develop vesico-vaginal fistula in Nigeria, and only 5,000 women seek medical intervention and may undergo surgery. Experts believe that by 2015, these numbers will double by 2 cases of VVF at least every 2 times of pregnancy.
Although VVF is the most prominent in terms of fertility, it is also found to be caused by violent rape and female genital mutilation. Governments and non-governmental organizations have made conscious efforts to combat this scourge with the considerable number of VVF centres established in the northernmost part of the country. However, it is worth mentioning that these efforts must be strengthened as these centres are still underfunded. In order to improve maternal health, it is important to recognize the importance of prenatal care for pregnant women so that early cases of VVF can be easily detected in an easily cured condition; they cannot obtain services from traditional maternal centres. Educational materials should be produced to provide awareness and primary health care networks in rural areas, and access to VVF treatment can be easily achieved by poor and uneducated women through surgery and rehabilitation. The intervention should also focus on repairing the mental, social and economic damage that women suffer from VVF. This is critical to reducing the rate at which Nigerian women continue to suffer from controllable and easily preventable scourges.
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Orignal From: Vesico vaginal fistula (VVF) plague in Nigeria
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