Dima Gavrysh is a New York based photographer specializing in documentary and travel photography. 

Obstetric fistula in Niger

Obstetric fistula in Niger

Obstetric fistula is a devastating pregnancy-related disability and affects estimated 50,000 - 100,000 women each year.

Fistula is a condition that often develops during obstructed labor, when a woman cannot get a Caesarean section. If the obstruction is not interrupted in a timely manner, the prolonged pressure of the baby� head against the mother� pelvis cuts off the blood supply to the soft tissues surrounding her bladder, rectum and vagina, leading to tissue necrosis and incontinence. The baby usually dies in the process as well.

While fistula is a global problem, it appears to be particularly common in Africa. However, it can be easily prevented if a skilled attendant with obstetric training is present to assist during the labor. Fistula can also be quite easily repaired - success rates can be as high as 90 per cent for experienced surgeons working in well-equipped facilities, and the surgery costs only $300 and takes less than 30 minutes.

In 2003, UNFPA and partners launched a global Campaign to End Fistula with the goal of making obstetric fistula as rare in developing countries as it is in the industrialized world. The Campaign is now working in more than 35 countries in Africa, Asia and the Arab region and involves a range of partners. In each country, it focuses on three key areas: prevention, treatment, and rehabilitation.