{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T19:45:03Z","timestamp":1765827903039},"reference-count":26,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,5,8]],"date-time":"2020-05-08T00:00:00Z","timestamp":1588896000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000200","name":"United States Agency for International Development","doi-asserted-by":"publisher","award":["AID\u2010OAA\u2010A14\u201000013"],"award-info":[{"award-number":["AID\u2010OAA\u2010A14\u201000013"]}],"id":[{"id":"10.13039\/100000200","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe the frequency, causes and post\u2010repair outcomes of NOF in hospitals supported by the Fistula Care Plus (FC+) project in the Democratic Republic of Congo.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective cohort study from 1 January 2015 to 31 December 2017 in three FC\u00a0+\u00a0supported fistula repair sites.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 1984 women treated for female genital fistula between 2015 and 2017 in the three FC\u00a0+\u00a0supported hospitals, 384 (19%) were considered to be non\u2010obstetric fistula (NOF) cases. 49.3% were married\/in a relationship at the time of treatment <jats:italic>vs<\/jats:italic>. 69% before the fistula, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001. Type III (<jats:italic>n<\/jats:italic>\u00a0=\u00a0247; 64.3%) and type I (<jats:italic>n<\/jats:italic>\u00a0=\u00a0121; 31.5%) fistulas according to Kees\/Waaldijk classification were the most common. The main causes of NOF were medical procedure (<jats:italic>n<\/jats:italic>\u00a0=\u00a0305; 79.4%); of these, caesarean section (<jats:italic>n<\/jats:italic>\u00a0=\u00a0234; 76.7%) and hysterectomy (<jats:italic>n<\/jats:italic>\u00a0=\u00a054; 17.7%) were the most common. At hospital discharge, the fistula was closed and dry in 353 women (95.7%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Non\u2010obstetric fistula, particularly due to iatrogenic causes, was relatively common in the DRC, calling for more prevention that includes improved quality of care in maternal health services.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tmi.13394","type":"journal-article","created":{"date-parts":[[2020,3,29]],"date-time":"2020-03-29T13:15:08Z","timestamp":1585487708000},"page":"687-694","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Frequency and management of non\u2010obstetric fistula in the Democratic Republic of Congo: experience from the Fistula Care <i>Plus<\/i> project"],"prefix":"10.1111","volume":"25","author":[{"given":"Michel","family":"Mpunga Mafu","sequence":"first","affiliation":[{"name":"EngenderHealth Kinshasa R\u00e9publique D\u00e9mocratique 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