38. What is Obstetric Fistula?

In this episode, I had the opportunity to speak with Jesse Chu, the program manager of Fistula Foundation. Our conversation centered around obstetric fistula, a childbirth injury largely eradicated in the developed world but remains a devastating issue for countless women in sub-Saharan Africa and South Asia.

Obstetric fistula is a result of prolonged, obstructed labor. It leads to an uncontrollable leakage of urine or feces, causing not only physical but also emotional and social damage to the women affected. In the areas where this condition is most prevalent, the lack of access to emergency obstetric care allows this injury to persist. Shockingly, women affected by this condition wait an average of five years before receiving treatment.

The discussion then shifted to the broader theme of global health. Jesse shared her first-hand experiences from the field, painting an enlightening picture of how organizations like Fistula Foundation are making a difference.

In terms of treatment, Jesse revealed that most cases of obstetric fistula can be repaired through a single surgery. However, it requires an expert surgeon to ensure no additional harm is done. The Fistula Foundation works with Figo, the International Federation of Gynecologists and Obstetric Surgeons, who have a fistula surgery training initiative. Through this program, they train surgeons around the world in fistula surgery.

Jesse's discussion revealed the unfortunate reality of obstetric fistula. The social, emotional, and economic consequences women with this condition face are heart-wrenching. However, the work of organizations like Fistula Foundation is a beacon of hope. The fight against obstetric fistula is not just a medical challenge, but a fight for healthcare justice and gender equality.

Overall, this episode was a sobering yet inspiring journey into the world of global health and the fight against obstetric fistula. We were reminded of the importance of universal healthcare access and the dire consequences when it is not provided. Through education, advocacy, and medical intervention, we can collectively work towards a world where no woman has to suffer from obstetric fistula.