Social and economic consequences of obstetric fistula: Life changed forever?

OBJECTIVES: To summarize the social, economic, emotional, and psychological consequences incurred by women with obstetric fistula; present the results of a meta-analysis for 2 major consequences, divorce/separation and perinatal loss; and report on improvements in health and self-esteem and on the possibility of social reintegration following successful fistula repair. METHODS: We conducted a review of the literature published between 1985 and 2005 on fistula in developing countries. We then performed a meta-analysis for 2 of the major consequences of having a fistula, divorce/separation and perinatal child loss. RESULTS: Studies suggest that surgical treatment usually closes the fistula and improves the physical and mental health of affected women. CONCLUSION: With additional social support and counseling, women may be able to successfully reintegrate socially following fistula repair.