title: A psycho-social study on genito-urinary fistula.
abstract: This study was done on a series of 132 vesico-vaginal fistula (V.V.F.) cases to assess the social factors that are related to this morbidity and its psycho-social effects on them. About 54% of the respondents developed VVF as an outcome of their first pregnancy and none of them had a living child. Of this 39% were in the age group of 15-20 years. About 68% were illiterate and 22% had received formal education for up to 5 years. Fifty two per cent of the subjects had a family income of up to Tk. 1,000 only per month. Almost all were Muslims (94.7%). Of the respondents 64.6% had home delivery by TBA and 72% had history of prolonged labour. Fifty six per cent of the subjects did not like to avail the health facilities of the nearby clinic/hospital. Lack of privacy, objection from husband/family and conduction of delivery by male doctor were mentioned as causes for not availing the facilities by this large group. Indifferent attitude of husband and in-laws, expressed willingness of husband for taking another wife, disturbed socio-psycho-sexual life and deterioration of general health were the after effects of the morbidity at individual, conjugal and community level of the respondents.
authors.affiliation: Department of Community Medicine, Mymensingh Medical College.
authors.forename: A I
authors.initials: AI
authors.lastname: Islam
authors.forename: A
authors.initials: A
authors.lastname: Begum
mesh_terms: D000293:Adolescent; D000328:Adult; D000886:Anthropometry; D001294:Attitude to Health; D001459:Bangladesh; D001827:Body Height; D004522:Educational Status; D005260:Female; D005528:Foot / Q000033:anatomy & histology; D006801:Humans; D007398:Interpersonal Relations; D008393:Marriage; D007744:Obstetric Labor Complications; D010298:Parity; D011247:Pregnancy; D012649:Self Concept; D012735:Sexual Dysfunction, Physiological / Q000209:etiology; D014719:Vesicovaginal Fistula / Q000150:complications / Q000503:physiopathology / Q000523:psychology*