The “pelvic floor” is the group of muscles that form a sling or hammock across the floor of the pelvis. Together with surrounding tissues, these muscles hold the pelvic organs in place so they can function correctly. The pelvic organs include the bladder, urethra, intestines, and rectum. A woman’s pelvic organs also include the uterus, cervix, and vagina. When the muscles or connective tissues of the pelvic area weaken or become damaged, a pelvic floor problem develops.
Obstetric fistula is also one of the pelvic floor disorders that the women experiences during child birth. Its effect on the mother is not only a physical trauma but affects the dignity and status of women's lives in the community as well. The main reason for obstetric fistula is prolonged obstructed labor which is the result of absence of accessible comprehensive emergency medical care for the women to have safe delivery.
Urinary incontinence or lack of bladder control is one of pelvic floor disorder. Urinary symptoms can include urinating too often in the day or night, strong urgency to urinate, or urinary leakage. The leaking of urine, a problem called urinary incontinence. This leakage may occur as a result of an exertion like a cough or sneeze or other factors involving the bladder muscles.
Historically obstetric fistula was a worldwide problem. With the advent of modern obstetric care, it has literally been eradicated from the developed countries. If modern medical care is available for women with prolonged labor, obstetric fistula would have been a history like we see it now in the developed countries. For developing countries to reach to this level there are several issues that need to be addressed: infrastructure for medical services, skill birth attendants, medical supplies, education system, girls right to say in the community, childhood diseases, vaccination coverage and backward Traditional and cultural believes.