The Epidemio-Clinic Profile of Clandestine Abortion at Saint Joseph Hospital (Kinshasa)

Abstract

Objective: To identify the epidemiologic profile of the woman having practiced the clandestine abortion, to determine the frequency and the complications of the clandestine abortion and to evaluate the prognosis of the clandestine abortion in our area. Method: The present study is descriptive and retrospective covering the period from January 2017 to December 2017, the one year period. On 118 patients received in the service for clandestine abortion, 60 were retained for the study. The 58 other files were excluded because of not containing sufficient information for this study. The descriptive statistical analyses were applied for the data analysis. Results: The frequency of the allowed patients for complication of clandestine abortion caused at the Saint Joseph hospital of Kinshasa was 6.03%. The most concerned population with this practice was less than 15 years and more than 45 years; they were unmarried (41.6%) and nulliparous (41.6%) in most cases. Ancillary medical staff (especially nurses) was accused the most in this practice of the illegal abortion caused by the dilatation and curettage with 50%. The genital haemorrhage constitutes the principal complication and reason for consultation and accounted for 78.3%. The assumption of responsibility is primarily medical and surgical. The vital prognosis is satisfactory for the immediate one, because no death is noted. Conclusion: The clandestine abortion remains public health problem in our communities. The results found in our study call for certain reflections so that to reduce its frequency and to avoid its complications.

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“…Males are more affected, regardless of race, region or socio-economic level [9]. This result is in line with those of KABONGO and KALENGAYI in the DRC [8], MUBIKAYI and KALENGAYI in the DRC [7], ADAM et al in Ethiopia [9], SCHAMOON et al in Iraq [2] and ANTONIO in Brazil [12], who all found a high frequency of HL in males. In Great Britain, a multicentre epidemiological study carried out in several regions (England, Scotland, Wales) showed a variable incidence rate between the two sexes, with 2.65/100,000 inhabitants for men and 1.81/100,000 inhabitants for women [13].…”

“…HLc of the mixed cellularity type is predominant in all age groups, except in the 3 to 10 years of age group where the scleronodular type is more prevalent. Studies by KABONGO and KALENGAYI [8] and MUBIKAYI and KALENGAYI [7] in the DRC also revealed a predominance of the mixed cellularity type in all age groups. On the other hand, NAGPAL in the USA observed a predominance of the sclerodular type in all age groups, except in the 0-14 age group where he found a predominance of the mixed cellularity subtype [17].…”

“…In developing countries, HL is more common in young people because of the high proportion of young people in the population [9]. SATISH G et al, ZHOU L et al, MUBIKAYI and KALENGAYI in their studies conducted respectively in the USA, India and the DRC found a bimodal distribution with a peak in the2nd decade and another after the4th decade [5,7,10]. On the other hand, LIU W et al, in their study in China, observed a high incidence after the age of 85 [11].…”

“…In the Democratic Republic of Congo (DRC), HL has been the subject of a number of studies, including one by MUBIKAYI and KALENGAYI in 1984 [7] on a total of 139 cases of HL over a 20-year period. In 1994, another study was carried out by KABONGO and KALENGAYI [8] on a sample of 53 cases.…”