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The tragedy of Queen Henhenit -- The human obstetrical dilemma and its consequences -- The conquest of obstructed labor -- Dr. Sims finds a cure -- Structural violence and obstetric fistula : the Hausa case -- Deadly delays : deciding to seek care -- Deadly delays : getting to a place of care -- Deadly delays : receiving care -- Compassion, respect, and justice -- Hamlin fistula : a vision realized -- Epilogue : lessons learned and the way forward
Essential Surgery is part of a nine volume series for Disease Control Priorities which focuses on health interventions intended to reduce morbidity and mortality. The Essential Surgery volume focuses on four key aspects including global financial responsibility, emergency procedures, essential services organization and cost analysis.
This practical manual has three main objectives: to draw attention to the urgent issue of obstetric fistula; provide background information along with principles for developing fistula prevention and treatment strategies and programmes; and contribute to the development of more effective services for women under treatment for fistula repair.
Obstetric fistula is as old as mankind. While the incidence has diminished progressively with better health care in Western societies, the situation has changed little in many developing countries. Fistulae of pelvic organs, often monstrous defects, still are a major complication of child-birth causing misery to uncounted young women, and if they cannot find help in one of the very few hospitals with trained specialists, they became urological cripples losing everything: family, home and job. The magnitude of the problem is illustrated by some figures given by Reginald and Catherine Hamlin-about 700 fistula patients treated each year-a total of over 10,000 cases operated upon in their fistula hospital in Addis Ababa, Ethio pia. Most of these injuries could be prevented by better health care at the village level as some studies have shown conclusively. The incidence of fistula is an indicator of the standard of health and obstetrical care. The author of this book-Obstetric Fistula-is an internationally known Australian gynaecologist who for many years has been interested in all aspects of gynaecological urology, especially urinary stress inconti nence, other forms of involuntary loss of urine, and associated gynaeco logical conditions. He has devised a number of new operations to treat pelvic defects. Robert Zacharin's interest in obstetric fistula was a con sequence of his surgical activity in developing countries.
There is now a worldwide awareness of the vast number of women with untreated childbirth injury in Africa and other poor countries. These shameful injuries are preventable but this will not occur until there is improved access to quality obstetric care. While improvements in these services are the top priority, there is a great need to train more surgeons, especially nationals, to have the skill and resources to help these long-suffering incontinent women.
The accomplishments of pioneering doctors such as John Peter Mettauer, James Marion Sims, and Nathan Bozeman are well documented. It is also no secret that these nineteenth-century gynecologists performed experimental caesarean sections, ovariotomies, and obstetric fistula repairs primarily on poor and powerless women. Medical Bondage breaks new ground by exploring how and why physicians denied these women their full humanity yet valued them as “medical superbodies” highly suited for medical experimentation. In Medical Bondage, Cooper Owens examines a wide range of scientific literature and less formal communications in which gynecologists created and disseminated medical fictions about their patients, such as their belief that black enslaved women could withstand pain better than white “ladies.” Even as they were advancing medicine, these doctors were legitimizing, for decades to come, groundless theories related to whiteness and blackness, men and women, and the inferiority of other races or nationalities. Medical Bondage moves between southern plantations and northern urban centers to reveal how nineteenth-century American ideas about race, health, and status influenced doctor-patient relationships in sites of healing like slave cabins, medical colleges, and hospitals. It also retells the story of black enslaved women and of Irish immigrant women from the perspective of these exploited groups and thus restores for us a picture of their lives.
When gynecologists Catherine and Reg Hamlin left their home in Australia for Ethiopia, they never dreamed that they would establish what has been heralded as one of the most incredible medical programs in the modern world. But more than forty years later, the couple has operated on more than 20,000 women, most of whom suffered from obstetric fistula, a debilitating childbirth injury. In this awe-inspiring book, Dr. Catherine Hamlin recalls her life and career in Ethiopia. Her unyielding courage and solid faith will astound Christians worldwide as she talks about the people she has grown to love and the hospital that so many Ethiopian women have come to depend on. She truly is the Mother Teresa of our age. The second edition includes an afterword that brings Catherine's story up to date and new color photographs.
'A story of friendship like no other... breathtaking in its tenderness and inspiration.' The Hon. Dame Quentin Bryce AD CVO Two incredible women, an unlikely friendship, and a united mission to save the lives of some of the world's poorest and most desperate women. Healing Lives reveals the untold tale of Mamitu Gashe, Dr Catherine Hamlin's protégée, and the inspiring almost 60-year friendship between the two women. In 1962, three years after Drs Catherine and Reg Hamlin arrived in Ethiopia, an illiterate peasant girl sought their aid. Mamitu Gashe was close to death and horrifically injured during childbirth after an arranged marriage - at the age of just fourteen to a man she'd never met - in a remote mountain village. The Hamlins' Addis Ababa Fistula Hospital saved her and, in return, Mamitu dedicated her life to Catherine's mission. Under the iconic doctor's guidance, Mamitu went from mopping floors and comforting her fellow patients, to becoming one of the most acclaimed fistula surgeons in the world, despite never having had a day's schooling. This is the moving story of the friendship that saved the lives of over 60,000 of the poorest women on earth. SHORTLISTED FOR THE AUSTRALIAN CHRISTIAN BOOK OF THE YEAR AWARD 2021
Obstetric fistula is a birthing injury caused by prolonged obstructed labor that results in urinary and fecal incontinence. It is nearly non-existent in the Global North. In contrast Niger, in West Africa, has one of the highest rates of fistula in the world. In Western humanitarian and media narratives, fistula is presented as deeply stigmatizing, resulting in divorce, abandonment by kin, exile from communities, depression and suicide. In Fistula Politics, Alison Heller illustrates the inaccuracy of these popular narratives and shows how they serve the interests not of the women so affected, but of humanitarian organizations, the media, and local clinics.