Ampasimanjeva — It took three days for Nisehotsara, a farmer's wife from Betraka, a village on Madagascar's east coast, to deliver her 10th child. After the difficult birth, she woke up to find her bed soaked with urine.
Nisehotsara was diagnosed with obstetric fistula - a severe medical condition resulting primarily from obstructed labour - in which a hole, called a fistula, develops between the bladder or rectum and the vagina. Affected women are left with chronic incontinence.
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