Women’s Health in Nepal

Uterine prolapse is where the structures which hold the uterus (womb) in place are stretched or damaged and the uterus descends into the vagina (birth canal). It is a common consequence of vaginal birth, particularly in those who have prolonged labour or give birth to many children.

Obstetric fistula is where a hole develops in the wall of the vagina, making an abnormal connection between the vagina and either the bladder or bowel, causing urinary or faecal incontinence. It is a tragic consequence of prolonged and difficult labour. Women who experience severe prolapse or obstetric fistula often endure years of pain, infection and incontinence. In many cases, these conditions lead to depression, social isolation, worsening poverty and even abandonment.

The Open Heart International women’s health project provides world-class surgical care for uterine prolapse and obstetric fistula, ultimately improving the quality of life for women who would not otherwise receive care.

Most patients can expect a full recovery, removing both the physical and emotional burden impacting their daily lives. We see women regain their health, independence and self-esteem. Their improved health has a flow on affect for their families and the wider community.

Every year, Open Heart International helps as many as 80 Nepali women. As well as providing world-class surgical care, the team provides expert instruction and education to their local colleagues so that women can continue to be helped.

In 2018, Open Heart International has partnered with ADRA Nepal to significantly expand the breadth of the project. In conjunction with the surgery, the project will also engage both men and women in open conversations about the culturally taboo health subject of women’s health. The project will also provide low cost interventions such as pessaries for less severe prolapse conditions.