Caring for Women with Abortion Complications In Ethiopia: National Estimates and Future Implications
Caring for Women with Abortion Complications In Ethiopia: National Estimates and Future Implications
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DOI：
10.1363/ipsrh.36.006.10
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发表时间：
2010-03-01
影响因子：
4.4
通讯作者：
Kumbi, Solomon
中科院分区：
文献类型：
--
作者：
Gebreselassie, Hailemichael;Fetters, Tamara;Kumbi, Solomon
2005年，埃塞俄比亚放宽了堕胎法，主要是为了减少不安全堕胎的发生率。然而，鲜为人知的是，目前的程度和后果的不安全aborts.METHODS：数据收集在2007-2008年1,932名妇女寻求堕胎后护理在一个全国代表性的样本344公共和私人卫生设施，此外，工作人员在337设施的受访者提供信息，他们的设施的服务和工作量。这些数据被用来检查堕胎相关的发病率和治疗模式，并产生national estimates.RESULTS：在2008年，近58 000名妇女寻求人工流产或自然流产并发症的护理。四分之三的妇女在政府机构接受护理。41%的人患有中度或重度疾病，例如感染迹象，这可能与不安全堕胎有关。7%的女性有机械损伤或阴道插入异物的迹象。超过13 000名寻求堕胎后护理的妇女需要住院至少24小时。在公立医院寻求堕胎后护理的妇女中，最严重的并发症发生率为628/10万。应进一步扩大和加强堕胎后护理和安全堕胎服务，使这些服务更容易获得和负担得起，这反过来又可能减轻医院的财政负担，并使目前堕胎后护理所需的资源能够用于其他健康需求。确保所有妇女都知道可以进行安全堕胎，而且对许多迹象来说是法律的，将进一步减少不安全堕胎的发病率。国际性与生殖健康展望，2010，36（1）：6-15
CONTEXT: Ethiopia liberalized its abortion law in 2005, primarily to reduce the incidence of unsafe abortion. However, little is known about the current extent and consequences of unsafe abortion.METHODS: Data were collected in 2007-2008 on 1,932 women seeking postabortion care at a nationally representative sample of 344 public and private health facilities In addition, staff respondents at 337 facilities provided information on their facility's services and caseload. These data were used to examine patterns of abortion-related morbidity and treatment and to generate national estimates.RESULTS: Almost 58,000 women sought care for complications of induced or spontaneous abortion in 2008. Three-quarters of the women received care in government facilities. Forty-one percent had moderate or severe morbidity, such as signs of infection, that were likely related to an unsafe abortion. Seven percent of all women had signs of a mechanical injury or a vaginally inserted foreign body. More than 13,000 women seeking postabortion care required a hospital stay of at least 24 hours. The case fatality rate among women seeking postabortion care in public hospitals, where the most serious complications were seen, was 628 per 100,000.CONCLUSIONS: Postabortion care and safe abortion services should be further expanded and strengthened to make these services more accessible and affordable, which in turn may ease the financial burden on hospitals and allow the resources currently required for postabortion care to be used for other health needs. Ensuring that all women know that safe abortion is available and legal for many indications will further reduce morbidity from unsafe abortions. International Perspectives on Sexual and Reproductive Health, 2010, 36(1):6-15