Jahandad Society for Community Development (JSCD) in collaboration United Nations Population Fund (UNFPA) and Pakistan National Forum For Women Health (PNFWH) has been actively working on the prevention of Fistula in Pakistan.

Fistula results from prolonged or obstructed labor. Tissues inside the vagina tear, causing urine and faeces to leak out constantly. This is a source of lifelong shame, pain and discomfort for thousands of women. Yet in most cases, fistula can be repaired by qualified surgeons. It can even be prevented by good medical care during childbirth. UN reports show the figures of 4000-5000 cases of Fistula in a year (mostly in rural areas of Pakistan).

In this regard, JSCD in collaboration with UNFPA and PNFWH organized awareness seminars on prevention and treatment of fistula.

These seminars were conducted with the following objectives;

  1. To introduce the health service providers to relevant officials to develop linkages.
  2. To start the surveillance of fistula patients through GP, LHWs, LHVs & CMWs.

Summary of seminar at Central Park Medical and Teaching Hospital, Lahore.

On 31st December 2014, JSCD organized an awareness seminar for the prevention of Fistula at Central Park Medical And Teaching Hospital, Lahore in collaboration with UNFPA and PNFWH.

The Seminar was attended by the following stakeholders;

  1. Prof. Dr. Yasmin Rashid
  2. Prof. Dr. Tayyaba Majeed
  3. Prof. Dr. Samina Khan
  4. Asst. Prof. Dr. Aysha Ali
  5. Asst. Prof. Dr. Samina Tahseem
  6. Asst. Prof. Dr. Aneela Sadaqat
  7. Dr. Nayira Sultana
  8. Lady Health Workers
  9. LPN Students
  10. Nursing Instructors
  11. JSCD Coordinator

Dr. Yasmin Rashid  given presentation on the maternal health She said that Despite the continued efforts of the Department of Health and the Development partners, maternal mortality ratio of Pakistan is still high, at 276 maternal deaths per 100,000 live births. A sensitive indicator of inequity, maternal mortality figure highlights the various socio-economic issues endemic to Pakistan. These include the social status of women in society, their access to health care and the inadequacy of the health care system in responding to their health needs. Pregnancy related problems and complications have been realized as avoidable via effective health education and the early detection of high-risk pregnancies. While complications during pregnancy cannot be predicted, majority of the maternal deaths can be prevented simply by avoiding three delays in seeking medical care.

Dr. Tayyaba Majeed brifed the participants on the Fistula project interventions she told the participants that obstetric fistula is a hole between the vagina and rectum or bladder that is caused by prolonged obstructed labor, leaving a woman incontinent of urine or feces or both.

For women with obstructed labor, labor that goes unattended, the labor can last up to six or seven days. The labor produces contractions that push the baby’s head against the mother’s pelvic bone. The soft tissues between the baby’s head and the pelvic bone are compressed and do not receive adequate blood flow. The lack of blood flow causes this delicate tissue to die, and where it dies holes are created between the laboring mother’s bladder and vagina and/or between the rectum and vagina.

Obstetric fistula most commonly occurs among women who live in undeveloped countries, who give birth without any access to medical help. If a woman’s labor becomes obstructed, she could remain in excruciating pain for days before her baby is finally dislodged. Her baby likely dies and she is often left with an obstetric fistula, a small hole created by constant pressure from the fetus, which renders her incontinent.

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