Prolonged labour and obstructed delivery—in most cases because the woman is unable to access medical care in time—puncture a hole between the birth canal and the excretory system, resulting in an abnormal connection
Kubeleka mochedwa- nthawi zambiri amayi amalephela kupeza chithandizo cha chipatala nthawi yabwino- kun’gambika bowo pakati pa njira yobelekera ndi njira yotulutsila zoipa kudzetsa kulumikizana kodabwitsa