Unsafe abortions in countries that restrict legal abortions Epidemiologic, clinical, and prognostic aspects at the University Hospital Center Yalgado-Ouédraogo of Ouagadougou

Ouattara, A.; Ouédraogo, A.; Ouédraogo, Charlemagne; Lankoandé, J.

doi:10.1684/mst.2015.0464

Cited by 4 publications

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“…Haemorrhage is primarily the reason for admission among women who are having or have had an unsafe abortion. In a study by Ouattara et al, among 111 women who had an unsafe abortion, 75% suffered severe haemorrhage, 11% suffered endometritis, 5% suffered anaemia, and 5% suffered hepatonephritis, while six women died . Others may suffer from infection and infertility .…”

Section: Resultsmentioning

confidence: 99%

“…In a study by Ouattara et al, 34 among 111 women who had an unsafe abortion, 75% suffered severe haemorrhage, 11% suffered endometritis, 5% suffered anaemia, and 5% suffered hepatonephritis, while six women died. 34 Others may suffer from infection and infertility. 32 Other effects are lifelong and devastating, such as psychosocial trauma, 29 permanent disability, and infertility, a condition that upends their lives entirely.…”

Section: Consequences Of Abortionmentioning

confidence: 94%

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Abortion among adolescents in Africa: A review of practices, consequences, and control strategies

Atuhaire

2019

Health Planning & Management

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Summary Background Developing countries register 98% of unsafe abortion annually, 41% of which occur among women aged between 15 and 25 years. Additionally, 70% of hospitalizations due to unsafe abortion are among girls below 20 years of age. Purpose This study unveils abortion practices in Africa, its consequences, and control strategies among adolescents. Methods Online databases that provided relevant information on the topic were searched. A Google Scholar search yielded 623 000 results, PubMed yielded 1134 results, African Journals Online yielded 110 results, and PsycINFO yielded eight results. A total of 25 studies published from 2000 to 2018 that met the Critical Appraisal Skills Programme (CASP) standard were thematically reviewed. Findings These studies indicated that abortion is a neglected problem in health care in developing countries, and yet decreasingly safe abortion practices dominate those settings. Adolescents who have unintended pregnancies may resort to unsafe abortion practices due to socio‐economic factors and the cultural implications of being pregnant before marriage and the legal status of abortion. Adolescents clandestinely use self‐prescribed drugs or beverages, insert sharps in the genitals, and most often consult traditional service providers. Abortion results in morbidities such as sepsis, severe anaemia, disabilities, and, in some instances, infertility and death. Such events can be controlled by the widening availability of and accessibility to contraceptives among adolescents, advocacy, and comprehensive sexuality education and counselling. Conclusion Adolescents are more likely to use clandestine methods of abortion whose consequences are devastating, lifelong, or even fatal. Awareness and utilization of youth‐friendly services would minimize the problem.

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Section: Resultsmentioning

confidence: 99%

Section: Consequences Of Abortionmentioning

confidence: 94%

Abortion among adolescents in Africa: A review of practices, consequences, and control strategies

Atuhaire

2019

Health Planning & Management

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“…The occurrence of complications secondary to an illegal abortion, noted for a quarter of a century in Congo Brazzaville [5], remains relevant today. These abortions are requested by adolescent girls or young women, on average 25 years old, in sexual activity, with an abortive past, who resort to unqualified personnel, thus reflecting the non-satisfaction of contraceptive needs [6][7][8][9][10][11][12][13][14][15]. This vulnerable and disadvantaged social layer is paying the heavy price for restrictive abortion laws.…”

Section: Discussionmentioning

confidence: 99%

“…If in some cases, patients self-medicate with illicit drugs [6] and traditional decoctions, however in other cases, they are subject to endo-uterine maneuvers by unqualified people., responsible for serious morbidity [6][7][8][9][10][11][12][13][14][15]. Complications of clandestine or unsafe abortions are multiple and of varying severity, dominated in the immediate and short term by hemorrhages, infections, and organ damage [6][7][8][9][10][11][12][13][14][15]. Complications in the form of uterine perforation are reported to be frequent in the first trimester [12,17,18] and are preferentially located on the postero-superior surface or in the fundic part of the uterus [12,19], due to its anteversion.…”

Section: Discussionmentioning

confidence: 99%

Clandestine Abortion Complicated by Intestinal Evisceration by Vaginal Route: About a Case at the University Hospital of Brazzaville

César¹,

Emery²,

Jostin³

et al. 2021

JGO

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Introduction. Clandestine abortion, performed under unfavorable conditions, is fraught with complications that can affect both the genitals and extra genitals. Illegal in some developing countries, abortion is responsible for high maternal mortality, of which it is the third cause. Clinical observation. We report the case of a 16-year-old adolescent girl admitted for pelvic pain and genital bleeding with extragenital exteriorization of an intestinal loop following an abortive endo-uterine maneuver, at the end of 16 weeks of amenorrhea depending on the date of the last period. After laparotomy, there was a uterine perforation of the antero-inferior surface with ileo-jejunal evisceration, requiring the performance of an intestinal resection with end-to-end anastomosis and hysterorrhaphy. Conclusion. The complications of clandestine abortions are still relevant in our country, despite the awareness of family planning and contraceptive measures. The lack of a legal framework governing the medical care of abortion leaves free rein to unqualified personnel on the one hand or to artisanal practice on the other, thus exposing them to the risk of high maternal morbidity and mortality.

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Profil des utilisatrices et facteurs associés à la satisfaction des clientes de la qualité des soins après avortement au Burkina Faso: étude transversale menée dans six régions

Ouattara,

Sié,

Seynou

et al. 2023

Sexual and Reproductive Health Matters

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Résumé Malgré la dépénalisation de l’avortement et la gratuité des soins après avortement (SAA), les femmes Burkinabè vivent des relations difficiles avec les soignants. Cette étude vise à déterminer le profil des femmes recevant des SAA, leur perception de la qualité des SAA et ses déterminants dans des structures sanitaires publiques et confessionnelles du pays. Une enquête quantitative a été menée auprès de 2174 femmes vues pour des SAA et recrutées de façon exhaustive de 2018 à 2020. Un questionnaire structuré a été administré à la sortie des soins. Une analyse uni-, bi- et multivariée a été faite. La majorité des clientes de SAA vivait en milieu rural (55%), avait 25 ans et plus (60%), vivait en couple (87%) et était sans-emploi (59%). La grossesse était non désirée chez 17% des femmes et 4% d’entre elles souhaitaient avorter. La satisfaction globale de la qualité des SAA était de 84%. Dans l’analyse multivariée, ses déterminants étaient la résidence en milieu rural (OR = 1.80 [1.38; 2.34]), un niveau scolaire primaire (OR = 1.48 [1.06; 2.07]) ou secondaire (OR = 1.95 [1.38; 2.74]), et avoir eu au moins un enfant (OR = 1.43 [1.02; 2.00]). Les facteurs associés à une faible satisfaction des SAA étaient une grossesse non désirée (OR = 0.64 [0.46; 0.89]) ou avoir souhaité avorter (OR = 0.09 [0.05; 0.16]). Le niveau de satisfaction globale est acceptable mais faible chez les clientes ayant souhaité avorter. Il est fondamental d’organiser un programme de formation des professionnels des SAA sur la communication, la relation interpersonnelle et l’empathie pendant les soins de santé.

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Unsafe abortions in countries that restrict legal abortions Epidemiologic, clinical, and prognostic aspects at the University Hospital Center Yalgado-Ouédraogo of Ouagadougou

Cited by 4 publications

References 0 publications

Abortion among adolescents in Africa: A review of practices, consequences, and control strategies

Abortion among adolescents in Africa: A review of practices, consequences, and control strategies

Clandestine Abortion Complicated by Intestinal Evisceration by Vaginal Route: About a Case at the University Hospital of Brazzaville

Profil des utilisatrices et facteurs associés à la satisfaction des clientes de la qualité des soins après avortement au Burkina Faso: étude transversale menée dans six régions

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