Obstetric fistula surgery
EngenderHealth estimates that there are up to 3,000 new cases of obstetric fistula in Tanzania each year. Maternity Africa is dedicated to helping eradicate the occurrence of obstetric fistula in Tanzania. The condition is caused when a baby becomes stuck in the birth canal (obstructed labour). When the mother remains in labour for several days, pressure on the tissue between the rectum and the birth canal, or bladder and birth canal, can die, creating a small hole – usually resulting in the death of the baby.
When the mother recovers from the birth, she leaks urine or faeces (or both) continuously. Without surgery, this is a devastating and permanent medical condition. The mother is often abandoned by her husband and the community.
There IS hope. In most cases, obstetric fistula can be repaired by a skilled surgeon. Maternity Africa’s founder and visiting surgeon, Dr Andrew Browning, conducts many of the more complex operations and trains Tanzanian doctors so they can operate and continue care. In many cases, the mother is cured completely or significantly and can return once again to a more normal way of life – and be accepted by her family, friends and neighbours.
Maternity Africa’s family planning programme provides a pillar of safe motherhood. Evidence suggests that if all women were offered access to effective family planning services then maternal mortality could be reduced by up to 30%. This could lead to a corresponding reduction in maternal injury – a most common and devastating being obstetric fistula.
Maternity Africa offers family planning consultations and a choice of treatment for all of its maternity and fistula patients, and to up to 1,200 external clients each year.
The World Health Organization recently recommended that each pregnant woman should have four scheduled antenatal visits prior to labour and delivery. This helps ensure that the well–being of the mother and her baby are monitored and that any problems can be identified and managed appropriately.
Maternity Africa provides antenatal care for all its maternity patients. Patients who are identified as being at higher risk have access to health promotion services. This includes family planning education presented through film, and one-to-one consultations with Maternity Africa’s skilled and experienced health professionals.
Labour and delivery
At Kivulini Maternity Centre, Maternity Africa offers routine midwifery care and 24-hour Comprehensive Emergency Obstetric and Newborn (CEmONC) services to vulnerable and marginalised women and girls of childbearing age. Maternity Africa is progressing steadily towards its annual target of 2,500 deliveries each year. We work with local community leaders and health facilities to build relationships and become a centre for patient referral.
After the baby is born, Maternity Africa provides postpartum care, including vaccinations against tuberculosis and polio.
Maternity Africa’s midwives and outreach teams travel to the surrounding communities and market places to inform and invite people to access maternal healthcare services.
Work at Kivulini
Meet Neema (27) and husband Sudi (31). Neema is a housewife and Sudi works in a factory at the village of Kisongo, close to Kivulini Maternity Centre. They have a three-year-old child.Sudi agreed with his wife that during delivery he would like to be with her to offer...
This is Amina, who is 16 years old. She comes from a village close to Kivulini Maternity Centre. She delivered her firstborn, a son with Maternity Africa. Amina just completed primary school. The man who got her pregnant abandoned her after her first month of...
Nembris lost three of her babies. She used to deliver her babies at home, and they were very big when they were born. They did not survive because they were weak after delivery.Nembris is 26, and had one other baby living. She is the second of two wives. She arrived...
Thurday 4 June was a special day at Maternity Africa’s Kivulini Maternity Centre, with healthy triplets born to Mary (31). Already a mother of two boys, Thursday’s delivery added two girls and another boy to Mary’s family. Mary has no job, and her husband does casual...
Maternity Africa is delighted to launch its latest appeal to help make childbirth safe for poor women and girls in rural Tanzania. Please follow this link http://goto.gg/47272 Thank you!
Maternity Africa hit a new record of 231 deliveries in May 2020 - almost double the number in May 2019 (119) and over 60 more than last month (169). This indicates the huge and immense effort from all of Maternity Africa's dedicated staff, even with all of the social...
For International Day to End Obstetric Fistula, Maternity Africa's Founder, Dr Andrew Browning AM, shares some of his thoughts on the challenges facing fistula treatment during the Covid-19 pandemic: https://www.figo.org/eradicating-obstetric-fistula-during-covid-19...
Celebrating International Nurses Day earlier this week, Maternity Africa's Kivulini Maternity Centre continued providing pre- and post-natal care, and delivering babies. Pictured is Rozalia, one of our nurses, who also celebrated with others in the nearby city of...
Maternity Africa recently hired a new doctor-in-charge at Kivulini Maternity Centre. After his orientation, he formalised a system of morning reporting. In attendance each day are the clinical supervisors, doctors, Country Director, matron, nurse training facilitator...
This is Rehema, forty years old and the third of three wives. Her husband is 70 years old. She lives around 120 kilometres from Maternity Africa's Kivulini Maternity Centre, and decided to come here to have her baby because she heard that it is a safe place to...
Maternity Africa recognises the great challenge that governments, donors, other employers, workers and communities are facing worldwide to combat the COVID-19 pandemic. Today is the World Day for Safety and Health at Work. Working with some generous donors, Maternity...
Sometimes Maternity Africa's clinical staff must deal with emergency, life-threatening situations. Nayo (30) is the mother of four children and lives with her husband. She attended school until grade seven, but her education stopped then because her parents could not...
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