Abortion and Unwanted Pregnancy in Adigrat Zonal Hospital, Tigray, North Ethiopia

Amanuel Gessessew

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Abortion and Unwanted Pregnancy in Adigrat Zonal Hospital, Tigray, North Ethiopia | <hr /> (mysql): SELECT * FROM authors WHERE submission_id = 508 ORDER BY seq <hr /> <hr /> (mysql): SELECT * FROM author_settings WHERE author_id = '1618' <hr /> Gessessew | African Journal of Reproductive Health

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Abortion and Unwanted Pregnancy in Adigrat Zonal Hospital, Tigray, North Ethiopia

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Amanuel Gessessew

Abstract

Unwanted pregnancy is associated with increased risk of maternal mortality and morbidity. This study was done to determine the causes of unwanted pregnancy and its impact on maternal health. A cross sectional study (February 1, 2002-January 31, 2004) was conducted on 907 patients with diagnosis of abortion and admitted to the gynecological ward of Adigrat zonal hospital, Tigray Region, Ethiopia. This accounts to 12.6% of all hospital and 60.6% of gynecological admissions. The majority of these women (69.8%) had unwanted pregnancy. Modern contraception methods were not in use in 76.2% of unwanted and 57.7% of wanted pregnancies (P = 0.008). Interference was reported in 81.4% of unwanted pregnancy. High incidence of complication was reported in patients with unwanted pregnancy. In this study it is found that unwanted pregnancy is associated with increased risk of maternal morbidity and mortality. The development and prompt implementation of a strategy that enables women to safely manage unwanted pregnancy is recommended (Afr. J. Reprod. Health 2010; 14[3]: 183-188).

Résumé

Avortement et la grossesse non voulue dans l’hôpital zonal d’Adigrat, Tigray, Ethiopie. La grossesse non voulue est liée au risque accru de la mortalité et la morbidité maternelles. On a mené cette étude afin de déterminer les causes de la grossesse non voulue et son impact sur la santé maternelle. Nous avons mené une étude transversale (1^er février 2002-31 janvier 2004) auprès de 907 patientes dont le diagnostic était l’avortement et qui ont été admises dans la salle gynécologique de l’hôpital zonal d’Adigrat, dans la région de Tigray, en Ethiopie. Ceci représente 12% de toutes les admissions hospitalières et 60% des admissions gynécologiques. La majorité des ces femmes (59,8%) ont eu des grossesses non voulues. On ne se servait pas de méthodes de la contraception moderne dans 76, 2% des grossesses non voulues et dans 57,7% des grossesses voulues (P=0,008). On a signalé des interférences dans 81,4% des grossesses non voulues. Dans cette étude, on a découvert que la grossesse non voulue est liée au risque accru de la morbidité et mortalité maternelles. Nous préconisons l’élaboration et la mise en application d’une stratégie qui permet aux femmes de gérer la grossesse non voulue d’une manière sans danger (Afr. J. Reprod. Health 2010; 14[3]: 183-188).

Key words: unwanted pregnancy, unsafe abortion, modern methods of contraception.

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Abortion and Unwanted Pregnancy in Adigrat Zonal Hospital, Tigray, North Ethiopia

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