Skip to main content
Sojourners
faith in action for social justice
Sojourners
About
About SojournersEventsOur TeamWork With UsMediaWays to GiveInvite a SpeakerContact Us
SojoAction
OverviewTake ActionIssue AreasResourcesFaith-Rooted AdvocatesChurch Engagement
Magazine
Current IssueArchivesManage My SubscriptionWrite for Sojourners
Sections
LatestPoliticsColumnsLiving FaithArts & CultureGlobalPodcastsVideoPreaching The Word
Subscribe
MagazineRenewPreaching the WordCustomer ServiceNewsletters
Donate
Login / Register

Bringing Fistula into the Light: International Day to End Obstetric Fistula

By Rachel Marie Stone
Via Wikimedia Commons.
Patients at the Addis Ababa Fistula Hospital in Ethiopia are all treated free of charge, copyright: WHO/P. Virot, Via Wikimedia
May 23, 2013
Share Full Article
Share As A Gift
Share a paywall-free link to this article.
This feature is only available for subscribers.

Start your subscription for as low as $4.95. Already a subscriber?

  • Link copied!
Share This Article
Share Options
  • Link copied!

“An obstetric fistula,” I said, standing in the pulpit of my 200-year old church, “is a hole between a woman’s vagina and her bowel, or between her vagina and her bladder.”

The congregation’s discomfort was palpable. Later someone told me that they couldn’t believe that I’d had the nerve to say the “v-word” twice!  It wasn’t exactly the effect I’d hoped to have, but it wasn’t entirely surprising.

Fistula is a childbirth injury that’s unknown today in the developed West, though before the advent of modern maternity care, it affected women — especially poor women — in America as well as Europe. It was likely the reason, at least in some cases, for a woman being euphemistically spoken or written of as an ‘invalid,’ or as having been ‘invalided’ by the birth of a child. Fistula’s story has always been one of (usually secret) suffering; even the surgery to repair the injury, developed by American gynecologist J. Marion Sims in 1840s Alabama, was performed experimentally upon slaves that Sims purchased for the express purpose of perfecting his technique before turning to white patients.

It’s women of color who still all but exclusively suffer fistula’s life-destroying effects.

Fistula happens when a baby gets stuck while being born, often because a girl is either underage, has a pelvic deformity, or has had her genitals deformed by female genital cutting — and there’s no trained person to help. She’ll labor for days without success. Only after the baby is dead and partially softened does it slip out from the exhausted mother, whose suffering has only begun. Days of pressure from the baby’s head have killed blood vessels in her vaginal tissues, which now decay, leaving a hole — or holes — from which urine and feces leak. She has become incontinent. Her husband divorces her. Her family makes her leave the house because of her stench. She can’t even keep herself clean enough, because the water she walks some distance to collect each day is just enough for basic use. The village children mock her for her stench; her neighbors ignore her.

Her story is multiplied between 50,000 to 100,000 times each year.

Read the Full Article

To continue reading this article — and get full access to all our magazine content — subscribe now for as little as $4.95. Your subscription helps sustain our nonprofit journalism and allows us to pay authors for their terrific work! Thank you for your support.
Subscribe Now!
Already a subscriber? Login
Patients at the Addis Ababa Fistula Hospital in Ethiopia are all treated free of charge, copyright: WHO/P. Virot, Via Wikimedia
Search Sojourners

Subscribe

Login Magazine Newsletters Preaching The Word
Follow on Facebook Follow on Bluesky Follow on Instagram Subscribe to our RSS Feed
Sojourners
Donate Products Editorial Policies Privacy Policy

Media

Advertising Press

Opportunities

Careers Fellowship Program

Contact

Office
408 C St. NE
Washington DC, 20002
Phone 202-328-8842
Fax 202-328-8757
Email sojourners@sojo.net
Unless otherwise noted, all material © Sojourners 2025