In the United States, obstetric fistula is virtually unknown. This isn't the case in in the developing world, where obstetric fistula affects more than two million poor women and girls, Some 50,000 to 100,000 new cases occur each year.
Every 90 seconds, somewhere in the world, a woman dies from a pregnancy-related complication. This isn't just a "third world" problem. The United States currently ranks 50th in the world for maternal health. It is safer to give birth in Bosnia or Kuwait than in California.