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

ObjectivesTo 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.MethodsWe 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.ResultsStudies suggest that surgical treatment usually closes the fistula and improves the physical and mental health of affected women.ConclusionWith additional social support and counseling, women may be able to successfully reintegrate socially following fistula repair.