TITLE:
Problematic of Clandestine Induced Abortions in Three Maternity Hospitals of Chad
AUTHORS:
Lhagadang Foumsou, Guira Daniel Dangar, Ouchémi Choua, Sadjoli Damthéou, Bray Madoué Gabkika, Olivier Moalloum Tarda, Rostand Dounou Njiki
KEYWORDS:
Clandestine Induced Abortion, Motivations, Complications, Maternity, Chad
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.7 No.9,
August
31,
2017
ABSTRACT: Background: In the world, induced abortion constitutes a
preponderant cause of morbidity and maternal mortality, more particularly in
developing countries. In these countries, the prevalence of contraception remains low, and situation makes the bed of unwanted pregnancies leading easily to the
induced abortions. The objective was to determine frequency of clandestine
induced abortions and to know the motivations of women that practice these
abortions in order to find a solution to minimize this practice. Patients
and method: We conducted a prospective, descriptive and multicenter survey
for three months from November 1st, 2015 to January 31st,
2016 achieved at N’Djamena Mother and Child hospital which is national reference
structure in terms reproduction health, Moundou Regional Hospital and Abéché
Regional Hospital about the epidemiological aspects and complications
clandestine induced abortions. The population of survey was constituted of
patients admitted in a maternity of these hospitals for clandestine induced
abortion. Every patient having practiced a documented induced abortion and
having agreed to participate in the survey was included. Results: During
the survey period, we recorded 94 cases of clandestine induced abortions among
2759 deliveries giving a frequency of 3.4%. The age group between 20 - 24
years was the most represented with 42.7%. The average age was 25.4 years, with
the extremes ranging from 15 to 42 years. Singles (66%) dominated marital
status. Sixty patients (63.9%) were of secondary. These patients were for the
most part students or pupils (55.3%). Concerning the parity, nulliparous were
the most numerous to practice the abortion (40.5%). More
than half our patients (58.7%) knew no contraceptive method. The principal
reason evoked to realize the abortion was further studies (38.2%). Means of
abortion most used was the misoprostol (36 cases that is 38.2%). In this
series, we observed 29 cases of complications, which is 30.8%. The
complications were dominated by the anaemia (62.1%). Conclusion: The
clandestine induced abortion is a frequent situation in the Chad and is cause
of numerous complications.