Prevalence of anaemia in obstetric fistula patients in Abakaliki


  • Adedokun I. Adegoke Department of Obstetrics and Gynaecology, State Specialist Hospital, Ondo City, Ondo State, Nigeria



Anaemia, Haemoglobin, Obstetric fistula, Packed cell volume


Background: Obstetric fistula remains a devastating condition among economically marginalised members of the society. Anaemia can result from inadequate intake of nutrients due to poverty. The study aims to assess the prevalence of anemia in obstetric fistula patients.

Methods: A retrospective study was carried out at the National Obstetric Fistula Centre, Abakaliki, Nigeria to determine the prevalence of anaemia among obstetric fistula patients. Data were retrieved from the case record of patients and analysis was done using SPSS version 20.

Result: Out of the 136 patients studied, 87 (63.9%) were petty traders and farmers. Eighty-nine (65.4%) were anaemic while 19 (13.9%) had packed cell volume of 30% and below.

Conclusion: Two-thirds of the patients were anaemic based on WHO's cut off and this is higher than global and local prevalence of anaemia in non-pregnant women. Therefore, it is reasonable to suspect anaemia in obstetric fistula patients and correction of same should start as early as possible in order to minimize the complications of anaemia in this group of patients.


Mselle LT, Kohi TW, Mvungi A, Evjen-Olsen B, Moland KM. Waiting for attention and care: birthing accounts of women in rural Tanzania who developed obstetric fistula as an outcome of labor. BMC Pregnancy Childbirth. 2011;11:75.

WHO. Department of Making Pregnancy Safer. Obstetric Fistula: Guiding principles for clinical management and programme development. Geneva: WHO Library cataloguing-in-publication data. 2006:11-30.

Wall LL. Obstetric vesicovaginal fistula as an international public-health problem. Lancet 2006;368(9542):120-9.

Tsui AO, Creanga AA, Ahmed S. The role of delayed childbearing in the prevention of obstetric fistulas. International J Gynaecology & Obstetrics. 2007:S98-S107.

Raassen TJIP, Ngongo CJ, Mahendeka MM. Iatrogenic genitourinary fistula: an 18-year retrospective review of 805 injuries. Int Urogynecol J. 2014;25:1699-706.

Lewis G, de Bernis L. Obstetric fistula: Guiding principles for clinical management and programme development. Integrated management of pregnancy and childbirth. WHO Press. 2006:3-6.

Kelly J. Ethiopia: an epidemiological study of vesico-vaginal fistula in Addis Ababa. World Health Stat Quart 1995;48(1):15-7.

Kelly J, Kwast BE. Epidemiologic study of vesicovaginal fistulas in Ethiopia. Int Urogynecol J. 1993;4(5):278-81.

Bull BS. Morphology of the erythron, in Williams haematology. MA Lichtlman B. Beutler, TJ Kipps U. Seligsohn K. Kaushansky, and JT Prchal, Eds., McGraw-Hill, New York, NY, USA, 7th edition. 2006:369-385.

Benoist BD, McLean E, Egll I, Cogswell M. Worldwide prevalence of anaemia 1993-2005: WHO global database on anaemia. Worldwide prevalence of anaemia 1993-2005: WHO global database on anaemia. 2008.

World Health Organization. Iron deficiency anemia. assessment, prevention, and control. A guide for programme managers. 2001:47-62.

Ijaiya MA, Aboyeji PA. Obstetric urogenital fistula: the Ilorin experience, Nigeria. West Afr J Med. 2004;23:7-9

Sunday-Adeoye I, Okonta P, Ulu OL. Prevalence, profile and obstetric experience of fistula patients in Abakaliki, Southeast Nigeria. Urogynaecologia. 2011;25:20-4.

Holme A, Breen M, MacArthur. Obstetric fistulae: a study of women managed at the Monze Mission Hospital, Zambia. BJOG. 2007;1010-7.

Federal Government of Nigeria, UNICEF. The nutritional status of women and children in Nigeria. Lagos;1994.

Cheesbrough M. District laboratory practice in tropical countries (Part 2), 2nd Edition Update, Cambridge University Press. 2010:1-434.




How to Cite

Adegoke, A. I. (2018). Prevalence of anaemia in obstetric fistula patients in Abakaliki. International Journal of Research in Medical Sciences, 6(8), 2611–2614.



Original Research Articles