Experiences with Provision of Post-Abortion Care in a University Teaching Hospital in South-East Nigeria: A Five Year Review
), OUJ Umeora(2), I. Sunday-Adeoye3(3),
(1)
(2)
(3)
Corresponding Author
Abstract
The objective of the study was to review the implementation of Post Abortion Care and effective linkage to other post abortion services in Ebonyi State University Teaching Hospital, Abakaliki, Nigeria. Data on PAC over a five year period (July, 2004 to June, 2009) were analyzed and a standardized questionnaire was administered to 45 direct PAC service providers. Abortion complications constituted 41.4% of all Gynaecological admissions. Maternal mortality from complications of abortion was 11.5% of all the maternal mortality at the centre. Women aged 19 years and less were 37(7.1%) and single women were 132, constituting 25.3% of all cases. About 31% of the PAC care providers had formal training for the implementation of the PAC services. Fifteen percent of the care givers were satisfied with the linkage between PAC and the Family Planning services. There is poor integration between emergency post abortion care and other reproductive health services in the centre (Afr J Reprod Health 2012; 16[1]:105-112).
RésuméExpérience concernant la dispensation de soin de post-avortement dans un Centre Hospitalier Universitaire situé au sud-est du Nigéria : Révision des résultats couvrant une période de cinq ans : L’étude avait comme objectif de passer en revue la mise en œuvre de soin du post-avortement et le lien efficace aux autres services de post-avortement dans le Centre Hospitalier Universitaire de l’état d’Ebonyi à Abakaliki au Nigéria. Les données sur le SPA (soin de post-avortement) au cours d’une période de cinq ans (juillet 2004 au mois du juin 2009) ont été analysées et nous avons administré un questionnaire normalisé directement aux 45 dispensateurs de services de SPA. Les complications des avortements on t constitué 41,4% de toutes les admissions gynécologiques. La mortalité maternelle causée par les complications de l’avortement était de 11,5% de toute la mortalité dans le Centre. Les femmes âgées de 19 ans et de moins étaient 37 (7,1%) et les femmes célibataires étaient 132, ce qui constituait 25,3% de tous les cas. Environ 31% des dispensateurs des SPA avaient reçu une éducation formelle pour la mise en œuvre des services des SPA. Quinze pourcent des dispensateurs ont été satisfaits du lien entre SPA et les services de planification familiale. Il y a une faible intégration entre le soin de post-avortement d’urgence et les autres services de santé de la reproduction dans le Centre (Afr J Reprod Health 2012; 16[1]:105-112).
References
World Health Organization (WHO). Safe abortion: Technical and policy Guidance for health systems. Geneva: World Health Organization. (2003).
National Population Commission Nigeria and ICF Macro. 2009. Nigeria Demographic and Heealth Survey 2009. Calverton, Maryland.
Center for Reproductive Rights regarding maternal mortality in Nigeria- Universal periodic review or Nigeria. August 29 2008; Pg5.
Ransom EI, Yinger NV. Making motherhood safe: Overcoming obstacles on the pathway to care. Population reference Bureau. 2002; 8.
Adebiyi G. Adesiyun, Charles Ameh; An analysis of surgically managed cases of pelvic abscess complicating unsafe abortion; J A yub Med Coll Abbott Abad 2006; 18(2).
Akinrinola Bankole, Oye-Adeniran Boniface, Singh Sushela, Adewole Isaac, Wulf Deirdre, Sedgh Gilda, Hussain Rubina; Reducing unintended pregnancy and induced Abortion in Nigeria: Guttmacher Institute Publication, New York, Nov. 2007. 1-3.
Bongaarts J and Westoff CF. The potential role of contraception in reducing abortion. Studies in Family planning 2000, 31:193-202.
Deborah L. Billings, Barbara B. Crane, Janie Benson, Julie Solo,Tamara Fetters. Scaling-up a public health innovation: A comparative study of post-abortion care in Bolivia and Mexico; Social Science & Medicine 64 (2007) 2210–22
Greenslade, F. C., McKay, H., Wolf, M., & McLaurin, K.. Post-abortion care: A women’s health initiative to combat unsafe abortion. Advances in abortion care 1994; (Vol. 4, pp. 1–4). Carrboro, NC: Ipas.
Corbett, M. R., & Turner, K. L.. Essential elements of post-abortion care: Origins, evolution and future directions. International Family Planning
Perspectives, 2003; 29(3), 106–11.
Westley, E., & Eschen, A. Lessons in moving reproductive health innovations to scale: From pilot to program. (2000) New York: AVSC International Human Rights Watch (HRW).. Decisions denied women’s access to contraceptives and abortion in Argentina, 2000; (Vol. 17 No. 1 (B)). New York: HRW /http://hrw.org/reports/2005/ argentina0605/S.
Solo, J. Easing the pain: Pain management in the treatment of incomplete abortion. Reproductive Health Matters, 2000; 8(15), 45–51.
Oye-Adeniran BA, Umoh AV, Nnatu SNN; Complications of Unsafe Abortion: A Case Study and the Need for Abortion Law Reform in Nigeria. Reproductive Health Matters 2002;10(19):18–21
Onah HE, Ogbuokiri CM, Obi SN, Oguanuo TC.
Knowledge, attitude and practice of private medical practitioners towards abortion and post abortion care in Enugu; journ obstet gynaecol, 29:5; 415-18.
Ibekwe PC. Post abortion care: A neglected aspect of Reproductive health services in Nigeria. Commentary in Afr journ Repd health, 2008: 13-14.
Kumar P. Malhotra N. Spontaneous Abortion: In Jeffcoate’s Principles of Gynaecology.7th Ed. Jaypee Publishers New Delhi; 2008: 131-41.
Aboyeji A. P, Ijaiya, M. A, Fawole, A. A; Maternal mortality in a Nigerian Teaching Hospital: a continuing tragedy: Tropical Doctor 2007. 37: 8385.
Konje J., Obiesesan K. A.; Septic Abortion (A Five – Year Review). Trop J.Obstet Gynaecol. Vol. 9. No. 2, 1999. 48 – 51.
Fawole A. O., Sotiloye, O. S., Adebayo, As, Otolorin E. O. The prevalence of induced abortion in Abeokuta. An Abstract in Trop. J. Obstet Gynaecol. Vol. 1 Supl. 1) Nov. 2001, 49.
Potts Malcom, Campbell Martha: Unsafe abortion: A preventable problem. In: the Obstetrician and Gynaecologist, Vol. 4, No. 3, July, 2002., 130 – 134.
Emuveyan, E. E., Agboghoroma. Trends in Abortion Related Maternal Mortality in Lagos, Nig. Trop. Journ. Obstet. Gynaecol Vol. 14 No. 1. 1997. 39 – 41.
Solo Julie, Billings Deborah L. Linkages with treatment for Incomplete Abortions Improve Family Planning Services in Kenya: Operations Research
Alternatives (Link...prove Family Planning Services in Kenya.2000. http://www.popcouncil.org/rhfplalt ernativedlinkages.html
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