Nursing and Midwifery

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Browsing Nursing and Midwifery by Author "Chipapa, Smith"

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    Predictors of vesicovaginal fistula closure outcomes among women following surgery at Bwaila Fistula Care Centre
    (Kamuzu University of Health Sciences, 2021-03-04) Chipapa, Smith
    The type of research study: This is a quantitative retrospective cross-sectional study which will use data from the case management notes of women with obstetric fistula at the Bwaila fistula care centre from January 2019 to December 2019. The problem to be studied While the goal of repair is to achieve continence in women with obstetric fistula, a significant number of women experience avoidable failed repairs and remain incontinent even after the repair. As a result these women are continuously subjected to psychological, emotional, social and medical trauma from the urine. Information on the reasons for failed repairs of these women is scanty and mostly limited to the patient related factors. Factors that predict repair outcomes are arguably many and not only limited to patient related factors. If these factors can be considered preoperatively to determine the kind of surgery required for a specified fistula, incidences of failed repairs would be greatly minimized hence optimizing the quality of lives of these women. This study therefore seeks to assess predictors of Vesicovaginal fistula closure outcomes in women following surgery at Bwaila Fistula care Centre The objectives This study aims to assess predictors of Vesicovaginal fistula closure outcomes in women following surgery at Bwaila Fistula care Centre. Methodology Case files of women who underwent obstetric fistula repair from January 2019 to December 2019 will be identified from which 174 case notes will be randomly sampled foranalysis. A data abstraction tool will be used to extract labour, patient and hospital related variable information from the case notes which will be used to assess their association with closure outcome. Data will be analyzed using SPSS version 22. Expected findings and their dissemination. We expect to find labour, patient and hospital related factors that can predict repair outcomes of women with Vesicovaginal fistula. Based on the findings on these predictors, recommendations on how a specific fistula characteristic combination should be handled for optimum repair will be developed. The final copy of the findings will be made available at COMREC, Ministry of Health, and the fistula care Centre where the data will be collected. Findings will also be Presented at national and international conferences and the final copy will be published in a peer reviewed academic journal.