{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T05:58:33Z","timestamp":1773899913779,"version":"3.50.1"},"reference-count":22,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,5,21]],"date-time":"2021-05-21T00:00:00Z","timestamp":1621555200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,5,21]],"date-time":"2021-05-21T00:00:00Z","timestamp":1621555200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Women's Health"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>The consequences of obstetric fistula on affected women are more than the medical condition. It has extensive physical,\n psychological, social, and economic consequences on them. Obstetric fistula affects the entire health and entire life of women. Women suffering from obstetric fistula are often abandoned by her partner, relatives, and the community. This study aimed to determine the quality of life of obstetrics fistula patients before and after surgical repair.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Institutional-based prospective, before and after study design was conducted in the Jimma University Medical Center from November 1, 2019\u2013October 30, 2020. A face-to-face interview was conducted with fistula patients who visited Jimma University Medical center, fistula clinic during the study period. All fistula patients were included in the study. Accordingly, 78 women who underwent surgical repair were interviewed. The means and the standard deviation were computed using conventional statistics formulas. The unpaired t-test was used to compare two independent means, and one-way analysis of variance (ANOVA) was used to compare the quality of life before repair and after a successful repair. Linear regression analysis was done for identifying determinants of quality of life. A <jats:italic>P<\/jats:italic> value of 0.05 will be considered statistical significance.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Result<\/jats:title>\n                <jats:p>The overall quality of life of women was 58.17\u2009\u00b1\u20097.2 before the surgical repair and 71.20\u2009\u00b1\u200910.79 after surgical repair. The result indicates there is a significant difference in the mean value of pre and post-operative (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). The overall satisfaction of women with their health status before the surgical repair was 22.5\u2009\u00b1\u20091.30and it has increased to 53.0\u2009\u00b1\u2009.90after surgical repair. The physical health dimension score was 16.51\u2009\u00b1\u20095.27 before the surgical repair while it has increased to 21.77\u2009\u00b1\u20095.38 after the surgical repair. The score of the social domain before the surgical repair was 5.19\u2009\u00b1\u20091.34 and it has increased to 7.13\u2009\u00b1\u20093.67 after the surgical repair. The score of the environmental health domain was 17.41\u2009\u00b1\u20092.89 before the surgery while it also increased to 21.65\u2009\u00b1\u20094.04 after the surgical repair. The results have shown there was a significant difference in the mean values of pre and post-operatives in both social and environmental scores (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). The score of the psychological health domain before the surgery was 19.06\u2009\u00b1\u20091.46 and it was increased to 19.84\u2009\u00b1\u20093.21 after the surgical repair. The result showed there is a significant difference in mean value pre and post-operative (<jats:italic>P<\/jats:italic>\u2009=\u20090.048), though it is a slight improvement compared to other domains.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The overall quality of life of the patient with fistula was improved after successful surgical repair. Although all domains of quality of life had shown significant improvement after successful surgical repair, the psychological domain showed slight improvement.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12905-021-01360-y","type":"journal-article","created":{"date-parts":[[2021,5,21]],"date-time":"2021-05-21T07:02:55Z","timestamp":1621580575000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Quality of life of obstetrics fistula patients before and after surgical repair in the Jimma University Medical Center, Southwest Ethiopia"],"prefix":"10.1186","volume":"21","author":[{"given":"Tilahun Fufa","family":"Debela","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zerihun Asefa","family":"Hordofa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aster Berhe","family":"Aregawi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Demisew Amenu","family":"Sori","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,5,21]]},"reference":[{"key":"1360_CR1","doi-asserted-by":"publisher","unstructured":"Polan ML, Sleemi A, Bedane MM, et al. 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A permission letter was obtained from the Department of Gynecology and obstetrics department of Jimma University and submitted to Jimma University Medical Center. Informed consent was taken from each participant before the start of data collection. All information obtained from participants was kept with confidentiality. Besides, they were told they have the right not to participate and withdraw from the study at any time. All experiment protocol of this study was done in accordance with the declaration of Helsinki and approved by the Iinstitutional review board (IRB) of the Jimma University of Ethiopia.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"I have been informed about this study\u2019s purpose, procedures, possible benefits and risks, and the use and disclosure of my child\u2019s health care information from this research. I have read and understood this consent form, and have been given the opportunity to ask any questions I may have. All my questions have been answered to my satisfaction. I freely give my consent for my child to participate in this research study. I authorize the use and disclosure of my child\u2019s health information to the parties listed in the authorization section of this consent for the purposes described above. By signing this consent form I have not waived any of the legal rights to which my child is otherwise entitled.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent form"}},{"value":"Not applicable.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"212"}}