V V F(VASICO VAGINAL FISTULA)- in BANGLADESH

FISTULA- A Common complication of prolong labour in Bangladesh.
What is Fistula- fistula
Prolong Labour( long Duration of delivery of Foetus), if head the foetus arrest on birth canal during delivery for 3 to 12 hour. due to this prolongation the tissue of the birth canal become necrosed due to High Pressure, after delivery of the baby a fistula (canal) is created on that areas.
Causes of Fistula-
* Prolong & obstructed labour delivered by unskilled midwife.
*No Emergency obstetric care(EOC)
*Lack of Proper management.
* More child in Early age.
* Repeated Child Birth.
Sign &Symptom- Urine and Stool comes out sponteneously  through the Genitalia  over day and night.Foul smell- all the time.Her Husband refuse to Come Contact with her
[ Which is one of the vital cause For divorce]
Yes it is possible to cure-If it is early diagnosed& operated by specialized  surgeon. the cure rate is 95%. which gives a new life of the patient.No foul smell,No problem for Family life,It is a  great chance to recover her child bearing condition again.
Ways of Prevention-
1. Protect the Tendency of prolong Labour
2. Conduct the labour in Hospital or Trained (CSBA)
3.Proper & Regular Antenatal Check up
4. Ensure EOC& Take Care of the Pregnant Women
5.No Marriage Before Age of 18 years.
6.Avoid Pregnancy on Teenage.
7.Aware on Hazard of Fistula and Its Complication.