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Obstructed labor was the cause of 379 fistulas and the remaining 29 were not of obstetric origin. Although the actual incidence of vaginal fistulas is unknown, the incidence is probably much lower in Malawi than in other African countries. The rate of closure at first repair was 94.1% for urogenital fistulas but it reached 98.5% overall. For recto\u2010vaginal fistulas, closure at first repair was 78.8% but the overall rate of successful closure was 87.9%. Stress incontinence was seen in 16.2% of the patients immediately after repair and in 6.2% after 6\u00a0months. The latter rate is certainly too low, however, as 26 of 63 patients were lost to follow\u2010up. A national fistula task force has been set up in Malawi.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2007.06.015","type":"journal-article","created":{"date-parts":[[2007,9,17]],"date-time":"2007-09-17T12:21:21Z","timestamp":1190031681000},"source":"Crossref","is-referenced-by-count":18,"title":["Urogenital and recto\u2010vaginal fistulas in southern Malawi: A report on 407 patients"],"prefix":"10.1002","volume":"99","author":[{"given":"Y.","family":"Rijken","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.C.","family":"Chilopora","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,9,14]]},"reference":[{"issue":"2","key":"e_1_2_5_2_2","first-page":"44","article-title":"Using progress indicators to measure progress","volume":"12","author":"Ratsma Y.E.","year":"2001","journal-title":"Malawi Med J"},{"key":"e_1_2_5_3_2","volume-title":"Why more mothers die. 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