129 Outcomes of Second Trimester Abortion in Amhara Region.North Ethiopia

Tuesday, April 24, 2012
Abay Poster Exhibition and Hall (Millennium Hall)
bekele Y. Derso Diredawa University, Ethiopia
Andualem M. Ayana Jimma University, Ethiopia
Fitsum Araya Tsaedu Jimma University, Ethiopia
Background: Worldwide, about 42 million unintended pregnancies are terminated each year, an estimated 20 million of which are unsafe. WHO claims that unsafe abortions kill 68,000 women, which accounts for 13% of all pregnancy-related deaths. Two-thirds of major abortion related complications and half of abortion related maternal mortality occurs in pregnancies terminated after 13 weeks of gestation.

 

Objective: The main aim of the present study is to assess the outcome of second trimester abortion in terms of effectiveness, and complication and side effects in five hospitals of Amhara Region.

Methods: Cross-sectional study was conducted on clients seeking abortion between 13 and 28 weeks of gestational age attended in five hospitals of Amhara region from July 01 to September 10, 2011. The data was collected using interviewer led questionnaire from all consecutive pregnant women who terminated mid-trimester pregnancy. Ethical clearance was obtained from the concerned body. The data was coded, entered and analyzed using SPSS (16th version).

Results: A total of 231 pregnant women participated in this study with mean (± SD) age of 24.96 ± 5.843 years. Out of them132 (57%) were urban in their residence, 141 (61%) of them had unplanned pregnancy, 181(78.2%) second trimester abortion was done by Misoprostol alone / with mifepristone.  With in medical method vomiting (9.3%), Nausea (14.9%) and Fever (11.5) and on surgical method vomiting accounts (6.5%), Nausea (8.5%) and Fever (7%)  was observed. 

Conclusion: The majority of the clients were urban in residence, students in occupation, and secondary school and above on their educational status. Medical methods were the commonly methods of termination of second trimester pregnancy. Financial problems, fear of other people, rape, incent and problems related to their partners were the main reasons of the clients for termination of pregnancy. Most of the pregnancies were unplanned and abortion was started induced


Learning Objectives: 1. To assess socio-demographic factors contributing for termination of pregnancy. 2. To determine the method commonly used for termination of pregnancy between 13 and 28 weeks of gestational period. 3. To assess the reasons for second trimester abortion in the study area. 4. To identify post-abortion complications and side effects associated with termination of pregnancy in second trimester.
See more of: Poster Session: Maternal and Child Health – Achieving MDGs & Sustaining Them
See more of: Maternal and Child Health – Achieving MDGs & Sustaining Them
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