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. 2018 Feb 16;13(2):e0192438.
doi: 10.1371/journal.pone.0192438. eCollection 2018.

Management of post abortion complications in Botswana -The need for a standardized approach

Tadele Melese  1 , Dereje Habte  2 , Billy M Tsima  3 , Keitshokile Dintle Mogobe  4 , Mercy N Nassali  1
Affiliations

Management of post abortion complications in Botswana -The need for a standardized approach

Tadele Melese et al. PLoS One. .

Abstract

Background: Post abortion complications are the third leading cause of maternal death after hemorrhage and hypertension in Botswana where abortion is not legalized. This study aimed at assessing the management of post abortion complications in Botswana.

Methods: A retrospective study was conducted at four hospitals in Botswana in 2014. Socio-demographic, patient management and outcomes data were extracted from patients' medical records. Descriptive statistics and chi-square test were used to analyze and present the data.

Result: A total of 619 patients' medical records were reviewed. The duration of hospital stay prior to uterine evacuation ranged from less than an hour to 480 hours. All the patients received either prophylactic or therapeutic antibiotics. Use of parenteral antibiotics was significantly associated with severity of abortion, second trimester abortion, use of blood products and the interval between management's decision and uterine evacuation. Uterine evacuation for retained products of conception was achieved by metallic curettage among 516 (83.4%) patients and by vacuum aspiration in 18 (2.9%). At all the study sites, Misoprostol or Oxytocin were used concurrently with surgical evacuation of the uterus. None use of analgesics or anesthetics in the four hospitals ranged between 12.4% to 28.8%.

Conclusion: There is evidence of delayed patient care and prolonged hospital stay. Metallic curette was the primary method used for uterine evacuation across all the facilities. Pain management and antibiotics use was not standardized. A protocol has to be developed with the aim of standardizing post abortion care.

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Conflict of interest statement

Competing Interests: The authors have declared that no competing interests exist.

References

    1. Shah I, Ahman E. Unsafe abortion: global and regional incidence, trends, consequences, and challenges. J Obstet Gynaecol Can. 2009;31(12):1149–58. - PubMed
    1. Sedgh G, Henshaw S, Singh S, Åhman E, Shah IH. Induced abortion: estimated rates and trends worldwide. The Lancet. 2007;370(9595):1338–45. - PubMed
    1. Haddad LB, Nour NM. Unsafe abortion: unnecessary maternal mortality. Reviews in obstetrics and gynecology. 2009;2(2):122 - PMC - PubMed
    1. Griebel CP, Halvorsen J, Golemon TB, Day AA. Management of spontaneous abortion. Am Fam Physician. 2005;72(7):1243–50. - PubMed
    1. Lukman H, Pogharian D. Management of incomplete abortion with manual vacuum aspiration in comparison to sharp metallic curette in an Ethiopian setting. East African medical journal. 1996;73(9):598–603. - PubMed

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