1·But due to a lack of hospitals and health facilities or surgeons who offer fistula repair services, these women carry on suffering from the physical, psychological and social impact of the condition.
但是由于缺乏提供瘘修补服务的医院和卫生设施或外科医生，这些妇女继续由于该病的身体、心理和社会影响而遭受痛苦。
2·It is expected to be widely used in countries to implement effective programmes to dramatically reduce the number of women developing obstetric fistula.
预期该手册将在国家广泛用于实施有效规划，以便显著减少罹患产科瘘的妇女人数。
3·Most women who develop untreated fistula have given birth at home with no assistance from a skilled birth attendant.
患有未治疗瘘的大多数妇女在家中分娩，没有熟练接生员的帮助。
4·In addition, because of obstetric fistula women and girls are often abandoned by their husbands and excluded by families and communities.
此外，由于产科瘘，妇女和女孩通常被其丈夫抛弃和受到家庭及社区的排斥。
5·Just about the worst thing that can happen to a teenage girl in this world is to develop an obstetric fistula that leaves her trickling bodily wastes, stinking and shunned by everyone around her.
对于一名十几岁的少女，患上产科瘘，导致身体排泄物滴答不停，恶臭难闻人见人躲，大概是在这个世界上最糟糕的事情。