Abortion and Unwanted Pregnancy in Adigrat Zonal Hospital, Tigray, North Ethiopia
),
(1)
Corresponding Author
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 (1er 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.
References
World Health Organization. Unsafe abortion: Global and regional estimate of the estimate of unsafe abortion and associated mortality in 2003, 5th Edition, Geneva, Switzeralnd: WHO, 2007.
Gilda S, Stanley H, Susheela S, Elisabeth A, Iqbal HS. Induced abortion: estimated rates and trends worldwide. Lancet 2007; 37: 1338–45.
Yirgu G, Tippawan L. Trends of abortion complications in a transition of abortion law revision in Ethiopia. J. Pub. Health 2008; 31(1): 81–87.
Kabir SM. Causes and Consequence of Unwanted Pregnancy from Asian Women’s Perspective. Intl. J. Obstet. 1989; 3(Supp):9-14.
Alan Guttmacher Institute. Unwanted Pregnancy and Induced Abortion in Nigeria; Causes and Consequence. New York, 2006.
World Health Organization. Unsafe Abortion; global and regional Estimates of Incidence of Unsafe Abortion and Associated Mortality in 2000. Geneva, 2004
World Health Organization. Safe Abortion Technical and Policy Guidance for Health Systems. Geneva, 2003.
Ali Y. Analysis of Maternal deaths in Jimma Hospital South Western Ethiopia. Ethiopian Med. J. 1994; 32:
-29
Kwast BE. Bekele M., Yoseph S. Gossa A. Confidential Enquiries into Maternal Deaths in Addis Ababa, Ethiopia. J. Obst. Gyn East Cent Afr. 1989; 8:75-82.
Yoseph S, Kifle Getahun. A Six Year review of maternal mortality in a teaching Hospital, Addis Ababa. Ethiopian Med. J. 1988;26:115-20.
Fantahun M, Chala F, Loha H. Knowledge, Attitude and Practice of Family Planning Among Senior High School Students in North Gondar. Ethiopian Med. J. 1995; 33(1):21-29.
Ismael S, Damene H. Family Planning Survey in North Gondar, Ethiopia. Ethiopian Med. J. 1996; 34(3):173182.
Versnel M, Berhane Y, Yohannes F. Sexuality and Contraception among Never Married High School Students in Butajura, Ethiopia. Ethiopian Med. J. 2002; 40(3);41-51.
Gessessew A, Mesfin M. Rape and Related Health Problems in Adigrat Zonal Hospital, Tigray, Ethiopia. Ethiopian J. Health Devt. 2004;18(3):140-14.
Health and Health Related Indicators. Federal Democratic Republic of Ethiopia. Ministry of Health 2004; 1-60.
Ethiopian Society of Obstetricians and Gynecologists. A data base on Abortion Literature Review. Addis Ababa, 2000.
Mellanby AR, Pearson VAH, Tropp JH. Preventing Teenage Pregnancy. Arch. Dis. Child. 1997; 77:459462.
Shiferaw M., Gebrehiwot S. Socio Demographic factors influencing the use of modern contraception in an Urban Population in South Western Ethiopia. Ethiopian J. Health Devt. 1993;7(1):1-7.
Elbertson C., Winikoff B., Armstrong E., et al. Expanding Access to Emergency Contraception in Developing Countries. Stud. Fam. Plann. 1995; 26(5): 251-63.
Westerly E. Emergency Contraception: A Global Overview. J. Am. Med. Women’s Assoc. 1998; 3(5); 215-8.
Kebede Y. Emergency Contraception: Knowledge and Practice of Gonder University Students, Northwest Ethiopia. Ethiopian Med. J. 2006;44(3):221-230.
Margolis A. Contraception after Abortion. Family Planning Perspectives 1974; 6:56.
Kero A, Lalos A. Increased contraceptive use one year post Abortion. Hum. Reprod. 2005; 20(11):3085-3090.
Lema VM. Mpagna VM. Post abortion contraception availability in Blantyre, Malawi. East Afr. Med. J. 2000; 77(9):488-93.
Article Metrics
Abstract View
: 723 times
Download : 0 times
Refbacks
- There are currently no refbacks.
