Genital fistulas mainly affect the most vulnerable group of women. They usually arise as a result of complications in childbirth, which are common in young, teenage mothers. Chronic malnutrition means that many young women are of petite size and thereby risk needing a caesarean section. Poverty in general, living far away from the nearest birth clinic or hospital and inferior road conditions leave many women unable to find help in case of perinatal problems. If labour continues for too long, the continuous pressure of the trapped baby cuts the blood flow in the pelvis minor. This results in irreversible damage; an opening is formed between the bladder and the vagina; a genital fistula.