title: Fertility desires and the feasibility of contraception counseling among genital fistula patients in eastern Democratic Republic of the Congo.
abstract: OBJECTIVE
  To determine the fertility and contraceptive desires of genital fistula patients in eastern Democratic Republic of the Congo (DRC) and to evaluate the impact of contraceptive counseling and its effect on contraceptive knowledge and use.
  
  
  METHODS
  Group contraceptive counseling was offered to fistula patients at HEAL Africa Hospital between February and May 2010. Fertility desires and contraceptive knowledge were assessed via verbally administered questionnaires before and after counseling, and use of modern contraceptive methods was tracked.
  
  
  RESULTS
  Of the 61 participants, 22/34 (64.7%) of those who desired children wanted to wait at least 1 year after repair before attempting pregnancy. Overall, 31/58 (53.4%) women had heard of birth control, although only 15 (24.6%) knew any specific methods, and none had ever used contraception. After counseling, all participants could recall 1 or more methods. Of the 25 participants discharged over the subsequent 3 months, 5 (20.0%) and 3 additional fistula patients selected a modern method of contraception.
  
  
  CONCLUSIONS
  Desire for contraception and birth spacing among women with fistula is significant. Basic group contraception counseling and access are feasible and lead to increased contraceptive knowledge and use.
authors: Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, San Francisco, USA. benfieldn@obgyn.ucsf.edu
authors: Nerys
authors: N
authors: Benfield
authors: Rogatien M
authors: RM
authors: Kinsindja
authors: Christophe
authors: C
authors: Kimona
authors: Maurice
authors: M
authors: Masoda
authors: Joseph
authors: J
authors: Ndume
authors: Jody
authors: J
authors: Steinauer
mesh_terms: D000293:Adolescent; D000328:Adult; D003267:Contraception / Q000523:psychology*; D003376:Counseling; D015023:Democratic Republic of the Congo; D005240:Feasibility Studies; D005260:Female; D005298:Fertility; D006801:Humans; D008875:Middle Aged; D014624:Vaginal Fistula; D055815:Young Adult