Complicated Abortions Admitted to the Obstetric Gynecology Department of the University Teaching Hospital Gabriel Touré: Management and Maternal Prognosis

Abstract

Objective: To study the complications of abortion by describing the profiles of the patients and the management.Methodology: It was a descriptive and analytical cross-sectional study with retrospective data collection over a period from January 2014 to December. We carried out an exhaustive sampling, taking into account all the patients admitted to the department for complications of abortion, whether spontaneous or induced. The information gathered on the survey sheets was entered and analysed using Microsoft Word versions 2013 and SPSS version 20.0.Pearson's Chi² test, Odds ratio, ICor, P <0.05 were used to contrast the data.Results: We reported 795 cases of abortions out of 14,148 pregnancies, or a frequency of 5.6%, of which 12.3% of complicated abortions. These were early abortions (81.9%) and late abortions (18.1%). Spontaneous abortions accounted for 92.3% of cases, 10.6% of which were complicated and induced abortions (voluntary termination of pregnancy or VTP) 4.8%. Fifty percent of abortion complications occurred in the context of VTP. The mean age of the patients was 27.82 years and adolescent girls accounted for 16% of the cases. Complications were dominated by anemia (68.3%), hemorrhagic shock (25.5%), and endometritis 2.0% each. Management was mainly manual intrauterine aspiration (MIUA), blood transfusion (27.1%), and antibiotic therapy. Lethality from unsafe abortion was 7.9%.Conclusion: Abortion complications are very common in our service, dominated by hemorrhagic shock and anemia. Lethality from unsafe abortion was 7.9%.