Determinants of maternal deaths in induced abortion complications in Ivory Coast

Thonneau, Patrick; Matsuda, Tomohiro; Goyaux, Nathalie; Djanhan, Y.; Yace-Soumah, Frederique; Welffens, Christiane

doi:10.1016/j.contraception.2004.04.011

Cited by 10 publications

(8 citation statements)

References 23 publications

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“…However, the Cote d'Ivoire safety distribution was nearly identical to recent findings from Nigeria, where 63.4% of abortions were most unsafe [15]. Young women (under 30) and women with more education had the highest rates of abortion, while adolescents (age [15][16][17][18][19], less educated women, and the poorest women had the most unsafe abortions. Similar to our findings, Vroh and colleagues (2012) found higher abortion prevalence among women under the age of 25 in their 2007 cross-sectional study in Côte d'Ivoire.…”

Section: Plos Onesupporting

confidence: 72%

“…This study only had direct reporting of respondent's prior abortion experiences, thus their estimates may suffer from differential underreporting more so than our confidante data. In another study of women who had been admitted to gynecological departments, investigators similarly found that the majority of abortions were performed using unsafe abortion methods outside of clinical settings [19]. As a whole, these findings suggest that access to…”

Section: Plos Onementioning

confidence: 96%

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Induced abortion incidence and safety in Côte d’Ivoire

Bell

Sheehy

Hyacinthe³

et al. 2020

PLoS ONE

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Background In Cô te d'Ivoire, induced abortion is legally restricted unless a pregnancy threatens a woman's life. Yet the limited available evidence suggests abortion is common and that unsafe abortion is contributing to the country's high maternal mortality. Our study aimed to estimate the one-year incidence of induced abortion in Cô te d'Ivoire using both direct and indirect methodologies, determine the safety of reported abortions, and identify the women most likely to experience a recent induced abortion or an unsafe abortion. Methods In 2018, we conducted a nationally representative, population-based survey of women age 15 to 49 in Cô te d'Ivoire. Women reported their own abortion experiences and those of their closest female confidante. We estimated the one-year incidence of induced abortion, and the safety of the abortions women experienced. Using bivariate and multivariate regression, we separately assessed sociodemographic characteristics associated with having had a recent abortion or an unsafe abortion. Results Overall, 2,738 women participated in the survey, approximately two-thirds of whom reported on the abortion experiences of their closest female friend. Based on respondent data, the one-year incidence of induced abortion was 27.9 (95% CI 18.6-37.1) per 1,000 women of reproductive age, while the confidante incidence was higher at 40.7 (95% CI 33.3-48.1) per 1,000. Among respondents, 62.4% of abortions were most unsafe, while 78.5% of confidante abortions were most unsafe. Adolescents, less educated women, and the poorest women had the most unsafe abortions.

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Section: Plos Onesupporting

confidence: 72%

Section: Plos Onementioning

confidence: 96%

Induced abortion incidence and safety in Côte d’Ivoire

Bell

Sheehy

Hyacinthe³

et al. 2020

PLoS ONE

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“…In the present study, the risk of severe complications decreased slightly with an increasing level of education. Previous studies [3,15,19], including one in Malawi [9], have documented that women with a better education are also wealthier and therefore better able to pay for safe induced abortion services than are others. Women in urban areas could have less severe complications than do women in rural areas because they seek care earlier as a result of better access to hospitals [20].…”

Section: Discussionmentioning

confidence: 99%

The severity of abortion complications in Malawi

Kalilani-Phiri

Gebreselassie²,

Levandowski³

et al. 2014

Intl J Gynecology & Obste

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“…The women did not seek help from health care personnel. This was a common finding in abortion studies conducted in Côte d'Ivoire (Guillaume & Desgrées du Loû, 2002;Thonneau et al, 2004) and in the Central African Republic (Sepou, Ngbale, Yanza, Domande-Modanga, & Ngumebi, 2004) where many women induced the abortion in their home.…”

Section: Discussionmentioning

confidence: 82%

Women’s Stories of Abortion in Southern Gabon, Africa

Hess

2007

J Transcult Nurs

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The purpose of this study was to explore the reasons women in rural, southern Gabon, Africa, chose to terminate their pregnancies, the methods used to induce abortions, and postabortion effects experienced by these women. Abortion is illegal in this country. A descriptive qualitative design guided the methodology for this study. Five women with a history of induced abortion were interviewed in-depth for their abortion story. Reasons cited for an abortion included lack of financial and partner support. Abortion methods included oral, rectal, and vaginal concoctions of leaves, bark, and water and over-the-counter medications, including misoprostol. Affects were physical, spiritual, and relational. Health care professionals need to provide women with guidance for appropriate contraceptive usage. Abortion after-care of women with physical and spiritual needs is important. Future research is suggested on the use of misoprostol in Gabon to understand its affects on women's reproductive health.

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Determinants of maternal deaths in induced abortion complications in Ivory Coast

Cited by 10 publications

References 23 publications

Induced abortion incidence and safety in Côte d’Ivoire

Induced abortion incidence and safety in Côte d’Ivoire

The severity of abortion complications in Malawi

Women’s Stories of Abortion in Southern Gabon, Africa

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