| |
How risky are second trimester clandestine abortions in Cameroon: a retrospective descriptive study
- 作者：Elie Nkwabong ; Robinson Enow Mbu ; Joseph Nelson Fomulu
- 关键词：Clandestine second trimester abortions ; Clandestine first trimester abortions ; Complications
- 刊名：BMC Women's Health
- 出版年：2014
- 出版时间：December 2014
- 年：2014
- 卷：14
- 期：1
- 全文大小：255 KB
- 参考文献：1. Shah, I, Ahman, E (2010) Unsafe abortion in 2008: global and regional levels and trends. Reprod Health Matters 18: pp. 90-101 CrossRef
2. Aniteye, P, Mayhew, S (2011) Attitudes and experiences of women admitted to hospital with abortion complications in Ghana. Afr J Reprod Health 15: pp. 47-55
3. Mentula, MJ, Niinim?ki, M, Suhonen, S, Hemminki, E, Gissler, M, Heikinheimo, O (2011) Immediate adverse events after second trimester medical termination of pregnancy: results of a nationwide registry study. Hum Reprod 26: pp. 927-932 CrossRef
4. Andersen, K, Ganatra, B, Stucke, S, Basnett, I, Karki, YB, Thapa, K (2012) A prospective study of complications from comprehensive abortion care services in Nepal. BMC Public Health 12: pp. 9 CrossRef
5. Rasch, V (2011) Unsafe abortion and post abortion care - an overview. Acta Obstet Gynecol Scand 90: pp. 692-700 CrossRef
Abortion Policies. A Global Review. Vol 1.
6. Schuster, S (2005) Abortion in the moral world of the Cameroon Grassfields. Reprod Health Matters 13: pp. 130-138 CrossRef
7. Schuster, S (2010) Women’s experiences of the abortion law in Cameroon: “what really matters- Reprod Health Matters 18: pp. 137-144 CrossRef
8. Tran, BX, Nguyen, LT, Nguyen, NH, Hoang, QV, Hwang, J, Okwusidi, JI, Alabi, KI, Olatunji, LA, Oyesola, TO, Alhamany, Z (2013) Cameroon demographic and health and multiple indicator survey (EDS-MICS) 2011. Glob Health Action 6: pp. 19570
9. Jones, RK, Finer, LB (2012) Who has second-trimester abortions in the United States?. Contraception 85: pp. 544-551 CrossRef
10. Harries, J, Lince, N, Constant, D, Hargey, A, Grossman, D (2012) The challenges of offering public second trimester abortion services in South Africa: health care providers-perspectives. J Biosoc Sci 44: pp. 197-208 CrossRef
11. Singh, S (2010) Global consequences of unsafe abortion. Womens Health (Lond Engl) 6: pp. 849-860 CrossRef
12. Shah, N, Hossain, N, Noonari, M, Khan, NH (2011) Maternal mortality and morbidity of unsafe abortion in a university teaching hospital of Karachi, Pakistan. J Pak Med Assoc 61: pp. 582-586
13. Raymond, EG, Grimes, DA (2012) The comparative safety of legal induced abortion and childbirth in the United States. Obstet Gynecol 119: pp. 215-219 CrossRef
14. Uria, M, Mosquera, C (1999) Legal abortion in Asturias (Spain) after the 1985 law: sociodemographic characteristics of women applying for abortion. Eur J Epidemiol 15: pp. 59-64 CrossRef
15. Zavier, AJ, Jejeebhoy, S, Kalyanwala, S (2012) Factors associated with second trimester abortion in rural Maharashtra and Rajasthan, India. Glob Public Health 7: pp. 897-908 CrossRef
16. Simetka, O, Spacek, R, Vasek, P, Lattová, V, Michalec, I, Procházka, M (2011) [Compare of misoprostol and dinoprost effectivity by induced second-trimester abortion]. Ceska Gynekol 76: pp. 472-476
17. Wonkan, A, Njamnshi, AK, Angwafo, FF (2006) Knowledge and attitudes concerning medical genetics amongst physicians and medical students in Cameroon (sub-Saharan Africa). Genet Med 8: pp. 331-338 CrossRef
18. Lin, CJ, Chien, SC, Chen, CP (2011) The use of misoprostol in termination of second-trimester pregnancy. Taiwan J Obstet Gynecol 50: pp. 275-282
文摘
Background Complications of clandestine abortions increase with gestational age. The aim of this study was to identify complications of second trimester clandestine abortions (STA) and those of first trimester clandestine abortions (FTA). Methods This retrospective descriptive study was conducted between March 1st and August 31st, 2012 in the University Teaching Hospital and the Central Hospital, Yaoundé (Cameroon). The files of women with clandestine abortions carried out outside our units, but received in our settings for some complications were reviewed. Variables studied were maternal age, parity, marital status, gestational age at the time of abortion, the abortion provider and the method used, the duration of antibiotic coverage, the time interval between abortion and consultation, the complications presented and the duration of hospital stay. Data of 20 women with STA (?3?weeks 1?day) and those of 74 women with FTA (?3 complete weeks) were analyzed and compared. The t-test was used to compare continuous variables. P value Results Women with STA had high parities (P--.0011). STAs were mostly performed by nurses and were usually done by dilatation and curettage or dilatation and evacuation, manual vacuum aspiration, intramuscular injection of an unspecified medication, transcervical foreign body insertion, amniotomy and misoprostol. STA complications were severe anemia, hypovolemic shock, uterine perforation and maternal death. Conclusions Clandestine abortions, especially second trimester abortions, are associated with risks of maternal morbidity and mortality especially when done by nurses. Therefore, women should seek for help directly from trained health personnel (Gynecologists & Obstetricians). Moreover, nurses should be trained in uterine evacuation procedures. They should also refer women who want to carry out STA to Gynecologists and Obstetricians. Finally, to reduce the prevalence of abortion in general, the government should make contraception available to all women, as well as use public media to sensitize women on the dangers of abortion and on the need to use family planning services.
| |
NGLC 2004-2010.National Geological Library of China All Rights Reserved.
Add:29 Xueyuan Rd,Haidian District,Beijing,PRC. Mail Add: 8324 mailbox 100083
For exchange or info please contact us via email.
| |
