Misbah Rahat, Dr Amira Batool, Dr Ammara Iqbal
Objective: To evaluate the characteristics of demography, social, cultural and environmental factors accountable for Vesicovaginal Fistula because of obstetric trauma. Methodology: This observational research work carried out in the patients suffering from vesicovaginal fistula. The recruitment of these patients carried out in DHQ Hospital Dera Ismail Khan, in March 2019. We conducted the interview of 27 patients. We collected the information about the characteristics of demography of these patients, social, cultural and environmental factors and utilization of SPSS V. 20 carried out for the statistical analysis of the collected information. Results: The average age of the patients was 25.37 ± 6.50 years. Average age of the patients at the time of 1st delivery was 18.55 ± 2.40 years. Most of the patients 81.50% (n: 22) were uneducated and 77.80% (n: 21) patients were from poor social and economic class. 70.40% (n: 19) patients were present with transport availability 24 hours in a day. 88.90% (n: 24) patients traveled from 1 to 5 hours to approach the health care facility. Conclusion: Marriage and pregnancy at very early age, poor social and economic condition, illiteracy, and non-availability of the obstetric care in emergency condition by skilled professionals are the main causative factors for vesicovaginal fistula. KEYWORDS: Vesicovaginal Fistula, Obstetric, Pregnancy, Causative, Pathology, Health Care.