Fistula Problem In Young Girl Child

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Fistula, a silent tragedy for child brides
Until recently, I thought I knew all there was to know about a woman's struggle on the path to motherhood, after all, I had trudged it myself. It had taken determination, 7 uterine fibroid surgeries, a miscarriage and a battle with pre-eclampsia before my daughter was born, two months early. Today she is a thriving, strong and delightful 6 year-old.
Then I met Hadiza, a sweet 16 year-old who was married to her uncle at 9, pregnant at 12 and developed an obstetric fistula after prolonged labour and her baby's death. She was one of 63 fistula patients at the Danja Fistula Center in Niger with whom I spent a week in February. Hadiza is recovering from her 4th fistula surgery a month ago and lives in hope that she will be "dry" again.
Fistula is a condition that affects hundreds of thousands of women, sadly 90% of them in Africa. Their story, like that of Hadiza, is one that hardly gets told.

An obstetric fistula is a childbirth complication due to obstructed labour when the tissues between a woman's vagina and her bladder or rectum are damaged from the continuous pressure from the baby's head stuck in the birth canal. The dead tissue falls off resulting in a hole through which the woman continuously leaks urine or faeces or sometimes both.
The tragedy of a fistula patient begins when she goes into labour. Try as she might, the baby won't budge. Hours pass, days even and her suffering continues. She is in a remote village with no midwife or access to medical attention. Added to her physical pain and suffering is the mental anguish of a lack of information about her situation. Her baby dies inside her and has to be extracted, sometimes piece by piece.
With her dead child goes her dream of motherhood and that desperate ache and incomprehension that accompanies every woman who has miscarried or lived through the birth of a still-born child. Then her second tragedy begins. She can't understand why she is leaking urine or faeces or worse still, both.
Soon she gets used to the constant drip of her bodily wastes down her leg and to the strong smells she emits. Her husband sends her home to her parents. In some cases, her smell becomes so unbearable, even her parents put her out, consigned to a hut far from the house, sometimes having access to others only when food is passed to her, in some cases, using a shovel to maintain distance.

One of the populations most vulnerable to fistulas are young brides. Child marriage is a global problem with an estimated 12 million girls given out in marriage before they turn 18, some as young as 9. 14 of the 20 countries with the highest rate of child marriage are in Africa.
The toxic combination of a young girl having sex, getting pregnant and going through childbirth when her body is not developed enough accounts for at least 25% of known fistula cases.
You do not have to have a daughter to imagine the impact of child marriage. It cuts across countries, cultures, ethnicities and religions. These children are robbed of their childhood, denied their rights to health, education and security, trapping them in the vicious cycle of poverty. And yet these decisions to hand out girls in early marriage are mostly taken by those who should be responsible for protecting them - their own parents and guardians - sometimes in the name of tradition.
I spent 7 hours in the Operating Room observing 4 corrective surgeries at Danja. It costs about $450 to give a woman her life and dignity back. But repairs, important as they are, will not eradicate fistula. Programmes are needed that reach communities to dissuade them from marrying their daughters as children.

National prevention strategies to prevent new cases of fistula that focus on innovative community-based approaches have to be implemented. There are few better models than that of Health Development International (HDI) Norway, which is currently being implemented by the Government of Niger as part of its National Program of Reproductive Health.

Repairs, important as they are, will not eradicate fistula. Programmes are needed that reach communities to dissuade them from marrying their daughters as children.
Civil society, community and faith-based organisations, businesses, multinational organisations, schools and individuals must play a role too. This is why some of us are working tirelessly with partners such as Girls Not Brides to raise awareness of these social ills that plague our women and to prioritise adolescent girls. We partner with the Fistula Foundation to raise funds to pay for free fistula surgeries, train African fistula surgeons, and to support and implement fistula prevention and reintegration programmes worldwide.
Fistula is 100% preventable. So is child marriage. Until we can guarantee the human rights of our girls and women, we, as Africans, and our governments are only paying lip service to development.
A longer version of this post appeared in the Life and Style section of ThisDay newspaper, Nigeria, on June 2, 2013.
Each year, 12 million girls are married before the age of 18
Faith is the Founder of Bridgewise, a not-for-profit company focused on bridging health gaps for women and children. Her main areas are the eradication of obstetric fistula and supporting children with genetic disorders and their families. Contact: info@bridgewise.org.
© Copyright 2002 - 2021 All Rights Reserved. Girls Not Brides is a global partnership of more than 1,500 civil society organisations committed to ending child marriage and enabling girls to fulfil their potential. Find out more
Girls Not Brides is a company limited by guarantee (Reg. No. 8570751) and a registered charity in England and Wales (Reg. No. 1154230).
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The urinary fistulas are rare in girls and are caused by trauma or congenital defects. The observation of an urethrogenital fistula in a 5-year-old girl poses the problem of etiology and especially its treatment that helps to preserve maximum external genitalia. 2.
Author: Noël Coulibaly, Ibrahima Séga Sangaré
When does an arteriovenous fistula occur in a child?
When does an arteriovenous fistula occur in a child?
Arteriovenous fistula (AVF) is a rare condition that can be present at birth or happen when an artery and vein that are side-by-side are damaged, and the healing process results in the two becoming linked. How is Pediatric Arteriovenous Fistula (AVF) treated?
www.childrens.com/specialties-services/con…
Is there a pediatric Fistula program in Texas?
Is there a pediatric Fistula program in Texas?
Each of our primary team members works solely in the pediatric setting with a clinical interest in disorders of the cerebrovascular system. This program is the only one of its kind in Texas, and one of a handful across the nation.
www.childrens.com/specialties-services/con…
How does anorectal malformation in children cause problems?
How does anorectal malformation in children cause problems?
The rectum may connect to part of the urinary tract or the reproductive system. This happens through a passage called a fistula. Anorectal malformations cause problems with how a child has a bowel movement. Treatment depends on which type of problem your baby has.
www.urmc.rochester.edu/encyclopedia/cont…
How does an arteriovenous fistula ( AVF ) affect the brain?
How does an arteriovenous fistula ( AVF ) affect the brain?
Arteriovenous fistulas (AVFs) are rare abnormal connections between an artery and vein. This connection allows blood to flow directly from an artery to a vein rather than travel through capillaries (tiny connecting blood vessels), causing the surrounding brain tissue to not receive the oxygenated blood it needs.
www.childrens.com/specialties-services/con…
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https://m.youtube.com/watch?v=NXL9V3R9vaY
Перевести · 20.05.2018 · fistula problem in young girl child - YouTube. fistula problem in young girl child. Watch later. Share. Copy link. Info. …
https://www.girlsnotbrides.org/articles/fistula-a-silent-tragedy-for-child-brides
Перевести · The tragedy of obstetric fistula for women and girls in Africa. An obstetric fistula is a childbirth complication due to obstructed labour when the tissues between a woman's vagina and her bladder or rectum are damaged from the continuous pressure from the baby's head stuck in the birth canal. The dead tissue falls off resulting in a hole through which the woman continuously leaks urine or faeces or sometimes both. The tragedy of a fistula …
https://www.hindawi.com/journals/criu/2015/202059
Abstract
Introduction
Observation
Discussion
Conclusion
Acknowledgment
Urethral fistulas are rare in girls. They occur most of the time during trauma. The case presented here is an iatrogenic fistula. The treatment was simple and consisted of a simple dissection and suture of urethra and vagina.
https://viduba.com/video:QRlUGZFMxMXYsplNTZlWQ10aahlV31TP
Перевести · Fistula Problem In Young Girl Child - Viduba is the best way of download, watch, share, videos. We …
https://www.share-netbangladesh.org/child-marriage-leads-to-obstetric-fistula
Перевести · 23.05.2019 · The reduction in child marriage can play a huge role in preventing obstetric fistula in young girls. Moreover, families should be made aware of the harmful health consequences of child marriage. When girls are young, …
https://www.childrens.com/specialties-services/conditions/arteriovenous-fistula
Перевести · In some patients surgery is required to ligate, or close off, blood flow to the fistula. For children with blood-clotting conditions, treatment can include medications to reduce their risk for AVF complications. Pediatric Arteriovenous Fistula (AVF…
https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=90&ContentID=P01980
Перевести · Your child may have trouble passing a bowel movement. This causes constipation and possibly mild pain. Membrane over the anal opening. Your baby may be unable to have a bowel movement. Rectum is not connected to the anus, but there is a fistula. Stool will leave your baby's body through the fistula …
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fistula problem in young girl child - YouTube
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Urethrovaginal Fistula in a 5-Year-Old Girl
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Fistula Problem In Young Girl Child