Analyse des avortements a la maternite de l'hopital communautaire de Bangui

RESUMO

Abortion; i.e.; early termination of pregnancy; has few complications when it occurs spontaneously. However self-inflicted abortion (SIA) often leads to more or less serious complications. In view of the increasing number of abortion cases in our department; we undertook this ye a rlong transversal study to eva l u ate the incidence of SIA in the department; d e t e rmine the demographic characteristics of the women that practiced SIA; and identify the complications of SIA. Only ongoing or incomplete abortions were studied. Amenorrhea not related to pregnancy or associated with ectopic pregnancy was excluded from study. Clinical and demographic data were noted on forms specially designed by the research team. Data analysis yielded the following findings. Abortion accounted for 719 of the 5292 hospitalizations (13.6) in gynecology unit; including 43.4of SIA. Mean patient age was 24.7 ye a rs (ra n ge; 13 to 39). Spontaneous ab o rtion was more like ly to be observed in married women than in students who usually presented SIA. Wanted preg n a n cy was more like ly to be rep o rted by married women than by single woman who posed the problem of unwanted pregnancy. Students had more SIA. The main reasons for practicing SIA were financial (61.5). The most common methods used for SIA were drug combinations (39.1) and mechanicaltools (26.0). All seve re complications such as infection and death we re observed in women who practiced SIA. The high incidence of SIA in the department was especially disturbing due to the young age of the women involved and the severity of the complications. More action is needed to spread info rm ation on contracep t ive methods in schools and unive rsities to avoid unintendedpregnancies that drive young people to practice SIA