摘要：Objective: Obstetric fistula is a life-altering birth associated injury and it is indicative of a health system that has failed to provide appropriate intra-partum care. Therefore, this study aimed to assess factors associated with knowledge and the misconception of obstetric fistula among women in Northwest Ethiopia. Method: Health facility based cross-sectional study was employed from March to April, 2019 among 395 pregnant women. The data were collected by systematic random sampling technique and analysed using SPSS 23.0 version. Logistic regression analyses was employed to estimate the crude and adjusted odds ratio with confidence interval of 95% and a P value of less than 0.05 considered statistically significant. Results: In this study, 41.3% of pregnant mothers had heard of obstetric fistula and among those mothers, 62.6% and 42.3% had good knowledge and misconceptions of obstetric fistula respectively. Living in urban [AOR=3.19, 95% CI=1.33-7.67], having history of antenatal visit [AOR=4.05, 95% CI=1.56-10.51], having primary educational level, secondary and above educational level, high monthly income, age at first pregnancy, institutional delivery, primiparity, multiparty, and contraceptive methods utilization were associated with knowledge of obstetric fistula. Whereas; had no formal education [AOR=4.01, 95% CI =1.51-10.65], living in rural and not using contraceptive methods were associated with the misconception of obstetric fistula. Conclusion: In the present study, pregnant women who had knowledge of obstetric fistula low and the misconceptions of obstetric fistula was high. Therefore, there is a need to give more emphasis on addressing obstetric fistula messages about its risk factors and preventive methods.
