Category Archive: Fistula and Childbirth Injury

Dec 13

Obstetric Fistula: an eradicable blight on women’s lives. Let’s end it.

  UNFPA campaign to end obstetric fistula invites you to change the world.

Dec 01

Maternal Mortality in Niger & Fashion International de la Mode Africaine 2011

Fashion Internationale de la Mode Africaine FIMA 2011 It was a pleasure to return to Niamey, Niger, this trip by far the most fashionable, sponsored by internationally renowned designer Alphadi and his innovative wife Kadidja, along with United States Ambassador Bisa Williams and the First Lady of Niger, colleague Dr Malika Issoufou Mahamadou. Promoting health and wellness …

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Jul 13

Pregnancy, Prolapse and Cesarean on Demand

Cesarean on Demand More women than ever before are showing up at the hospital in labor and asking for a cesarean section. According to the National Institutes of Health, the rate of c-section delivery has increased 40% since the mid-90s, a trend reflected in these NIH summary statements: Between 1996 and 2007, the C-section rate …

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May 04

Obstetric Fistula Highlighted at 2011 Pakistan National Women’s Health Forum

Pakistan National Women’s Health Forum Highlights Efforts to End Obstetric Fistula I had the honor of speaking at The Pakistani National Forum on Women’s Health (PNFWH), held during the week of March 4th, 2011 in Karachi.  The event featured renowned experts in reconstructive pelvic surgery, fistula treatment and women’s health from the Middle East, Africa, …

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Jan 24

Cesarean on Demand Does Not Eliminate Risk of Prolapse

Worldwide, “cesarean on demand” continues to increase. In the hopes of avoiding pelvic floor damage associated with birthing, some women have bought into the the trend for elective cesarean before onset of labor. Called “cesarean on demand” because patients demand it in the absence of a maternal or fetal indication, it’s the obstetric equivalent of …

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Dec 08

“Yankan Gishiri” cutting, a home remedy, cause fistula in Niger and Nigeria

(c) 2010 Lauri Romanzi In the Hausa/Fulani region of Northern Nigeria and Southern Niger, “Gishiri” is the term for salt, for “tasty” and slang for the genitalia of both sexes. “Yankan” is the word for cutting, and “Yankan Gishiri” (cutting with salt) has been used for generations as a local remedy for all sorts of …

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Nov 29

Kidogo Kidogo, fixing uterine prolapse in an incubator of extremis called the DRC

It’s not easy being a girl. I’m  here in DRC (Democratic Republic of Congo) where I and my American colleagues usually help the Panzi Hospital gyn and fistula surgeons fix fistulas and figure out ways to deal with less than perfect fistula repair results or how best to care for the “unfixables” – women with …

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Nov 25

The Step-Sisters of Fistula – Minimally Invasive Uterine Resuspension- Hysteropexy C’est Arrive au DR Congo.

NOV 23, 2010 (c) L Romanzi 2010 The Step-Sisters of Fistula – Minimally Invasive Uterine Resuspension- Hysteropexy C’est Arrive au DR Congo. It is difficult to express how impressed I am during each and every Harvard Humanitarian Initiative mission ( by the  skilled, motivated, and wise  pelvic floor – fistula surgeons at Panzi Hospital in Bukavu, …

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Oct 27

Ask Dr. R: Want to Volunteer in the Democratic Republic of Congo?

How do I volunteer for this? Linda McDermott, CNM, FNP Los Angeles CA Hello! To investigate volunteer options, go to and let them know you are interested in volunteering. This is the group I work with. Or you can check out, which also has an established DRC post, and a volunteer program! Best …

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Oct 27

Ask Dr. R: 32 year old new mother with perineal damage, fecal incontinence and sexual pain

Hi Dr. R., I was wondering if you could help me.  I’m 32, I delivered my first child after 2 years of trying (1 year with fert. treatments); suffered a 4th degree tear.  I have a very thin perineal wall left, my repair has broken down & I’m having issues with fecal incont.  I have …

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