My understanding of Vaginal Fistula is that a pregnant woman has too narrow of an opening of the vagina while having a baby. This narowness causes difficluty for the baby during birth, such as loss of oxygen and brain damage for the child. For the birthing mother, the anal and vaginal organs are sometimes injured permanently, so that control of deficating and urinating is permantly lost for the woman.
Fistula can occur if a woman is too small because she has become pregnant when too young, and her hips are not fully grown and developed. Some women's hips are till too small, even when they are fully grown. Another factor is the size of the baby at birth. If the baby is born a little early, ther may be no problem. If he baby goes to full term or a little beyond, there is more likely to be difficulty.
If the pregnant woman lives or works near a hopstial offering Cesarean Section, and gets to the hospital before birthing has gone to far, then a C-Section will prevent Fistula.
Many women in the world do not live near a hospital, so clinics need to assess the possibility of Fistula when seeing any pregnant woman. Abortion to save the life of the mother is a relaistic consideration in many cases. This frustrates many anti-abortion activists, because the chance of Fistula is subjectively difficult to accurately predict. So any medical professionals cannot be justifiably criticized for recommmending an abortion for most any young woman.
Anti-Abortion Activists have appropriated US and UN funds for research on Fistula, with the hopes of amassing sufficient information to attack meidcal professional recommending or performing abortions, to prevent Fistula. The focus of Anti-Abortion activists is to attack the medical professionals who perform abortions.
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