Author(s)

Ameyo Ayoko Ketevi^1*, Kossi Edem Logbo-Akey², Baguilane Douaguibe¹, Bingo M’Bortche³, Ajavon Dede Regine Diane², Kossigan Dare¹, Akila Bassowa¹, Komlan Alessi Andele¹, Abdoul Samadou Aboubakari², Koffi Akpadza¹

¹Department of Obstetrics and Gynaecology, University of Lomé, FSS, Lomé, Togo.
²Department of Obstetrics and Gynaecology, University of Kara, FSS, Kara, Togo.
³Clinic of the Togolese Association for Family Welfare, Lomé, Togo.

Introduction: The objective of this study is to describe the management of complications of induced abortion in the Gynaecology-Obstetrics clinic of the Sylvanus Olympio University Hospital. Methods: This is a descriptive cross-sectional study of patients admitted to the gynaecology-obstetrics clinic of the CHU-SO in Lomé between 1 August 2017 and 31 July 2022 (5 years) for complications of induced abortion. The records of patients who presented complications related to induced abortion during our study period were included. Our sample was exhaustive and included patients who met our inclusion criteria. Results: We recorded 20.2% complications of induced abortion. Drugs were used in 52.9% of patients. Toxic substances were used in 14.4% of cases. Foreign bodies were used in 7.1% of cases. The average time to onset of complications was 09 days. Haemorrhagic complications occurred in 88.6% of patients. Infectious complications were dominated by endometritis (22.9%). Uterine perforation was recorded in 07% of cases. Surgical treatment was given in 52.8% of cases, including hysterotomy in 7.1%. The average time to surgery was 11 hours 48 minutes. Contraception was used in 52.9% of cases. The case fatality rate was 8.6%. Conclusion: With all of this complications, induced abortion is a major factor in morbidity and mortality in women of childbearing age, compromising the obstetrical future of patients. A legal framework is needed in our country to avoid the sometimes fatal complications of induced abortion.

Care, Induced Abortion, Death, Togo

Ketevi, A. , Logbo-Akey, K. , Douaguibe, B. , M’Bortche, B. , Diane, A. , Dare, K. , Bassowa, A. , Andele, K. , Aboubakari, A. and Akpadza, K. (2025) Management of Complications of Induced Abortion at the Gynaecology-Obstetrics Clinic of the Sylvanus Olympio University Hospital (Lome-Togo). Open Journal of Obstetrics and Gynecology, 15, 764-772. doi: 10.4236/ojog.2025.154062.