Morbidity from unsafe termination of pregnancy in South Africa
Morbidity from unsafe termination of pregnancy in South Africa
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DOI：
10.3109/01443615.2013.783002
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发表时间：
2013-08-01
影响因子：
1.3
通讯作者：
Basu, D.
中科院分区：
文献类型：
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作者：
Basu, J. K.;Basu, D.
南非《终止妊娠法》允许妇女出于社会原因申请终止妊娠。对2008年在南非Charlottee Maxeke Johannesburg Academic（CMJA）医院因TOP引起的并发症而入院的所有（85）女性进行了回顾性记录审查。讨论了TOP的人口统计学特征、方法和部位、出现的并发症和最终治疗。观察到严重失血（39%）、败血症（26%）、多器官功能障碍（4%）和器官损伤（5%）等并发症。只有33%的妇女遵循了TOP的正确指南。自我诱导的TOP仍然是常见的做法。有必要对南澳大利亚州提供TOP的卫生保健工作者进行加速培训，以防止这种代价高昂且可预防的孕产妇发病率。
The Termination of Pregnancy (TOP) Act in South Africa (SA) allows women to request TOP for social reasons. A retrospective record review was done on all (85) women who were admitted with complications arising from TOP over a 1-year period in 2008, at the Charlottee Maxeke Johannesburg Academic (CMJA) Hospital, SA. The demography, methods and place of TOP, presenting complications and final management was discussed. Morbidity such as severe blood loss (39%), sepsis (26%), multiple organ dysfunctions (4%) and organ injuries (5%) were observed. A correct guideline for TOP was followed in only 33% of women. Self-induced TOP remained common practice. There is a need for accelerated training among healthcare workers providing TOP in SA to prevent this costly and preventable maternal morbidity.