Factors Associated with Management Outcome of Incomplete Abortion in Yirgalem General Hospital, Sidama Zone, Southern Ethiopia

Abstract

Background Each year, several millions of women who underwent abortion also bear several consequences, including infection, massive blood loss, chronic pelvic pain, infertility, and death. Poor treatment outcomes also cause disability and death. The aim of this study was to determine factors associated with management outcomes of incomplete abortion in Yirgalem General Hospital. Methods Health facility-based cross-sectional study design was used. Medical record review of 186 women who received abortion service from July 1st 2015 to June 30 2017 was done. Then the data were entered into the computer using epi info version 7.2 and exported into SPSS version 20, Descriptive analysis was done to determine social, demographic characteristics, and bivariate and multivariate logistic regression analysis were done to identify factors associated with management outcome of incomplete abortion, 95% CI and odds ratio used to present the result. Results A total of 180 (96.7%) of cases managed for incomplete abortion was included in the study. Of this, 53.3% of patients with incomplete abortion belonged to age group of 18–25 years old. More than half incomplete abortion cases were managed surgically 122 (67.8%). Of the total, 36 (19.4%) of the patients developed unfavorable management outcome. Gestational age at which abortion occurs AOR = 3.39, 95% (1.29, 8.89) and delayed seeking of medical help AOR = 2.96, 95% (1.04, 8.4) were found to be significantly associated with unfavorable management outcome. Conclusion High numbers of cases managed for abortion resulted unfavorable management outcome. However, no death occurred and major surgery done as the result of abortion management. Delayed seeking of medical care and seeking care past 1st trimester are significantly associated with unfavorable management outcomes. Therefore, awareness creation for adolescent and youth about prompt health-care seeking after the start of the first sign and symptom of spontaneous abortion should be strengthened.

Management outcome of incomplete abortion in Injibara General Hospital, Northwest Ethiopia: a cross-sectional study

“…The sample size was calculated using a single population proportion formula by considering the following assumptions: the proportion of unfavorable management of incomplete abortion was (19.4%) [27], Zα/2 = critical value for normal distribution at a 95% con dence level, which is equal to 1.96 (Z value of alpha = 0.05) or 5% level of signi cance (α = 0.05) and a 5% margin of error (d = 0.05). The sample size was 240, and it was adjusted by adding a 5% non-response rate and the sample size becomes 252.…”

“…Unfavorable outcome: a woman who was diagnosed with incomplete abortion and managed with a surgical or medical method, but developed one or more of the following complications after the initiation of the initial management: shock, sepsis, pelvic organ perforation (uterine, bowel, and bladder), laparotomy, hysterectomy, or patients with moderate or severe complication or with a clinical diagnosis of incomplete abortion who have died in the hospital [27].…”

“…Most of the time unfavorable management outcomes of incomplete abortion are associated with the gestational age of the pregnancy, the timing of seeking care after the onset of symptoms, methods of management, and pre-existing maternal infections [23,24,[27][28][29]. In general, abortion-related consequences have an impact on the lives of individuals, families, society, and the country as a whole and cost various budgets, and long-term disabilities such as lengthy hospitalization and sterility [27,30,31].…”

Efficacy of oral versus vaginal misoprostol in the management of first trimester incomplete miscarriage.

“…Incomplete miscarriage can be due to chromosomal abnormalities, hormonal problems, structural problems (shape of uterus), cervical issues, environmental factors, immunological causes, medications used for causing abortion and infections like German measles, cytomegalovirus, chlamydia and herpes simplex. 3,4 Early miscarriage occurs in 10-30% of all pregnancies while 10-15% of all clinically recognized pregnancies. 5,6,7 Surgical management has high success rate but associated with major and minor morbidity like haemorrhage, infection, uterine adhesions and uterine perforation.…”

The Economic Burden of Abortion and Its Complication Treatment Cares: A Systematic Review

“…Abortion related procedures contribute to a significant economic burden because it resulted in prolonged hospital stays for patients ( 6 , 7 ). In Africa and Latin America, the annual cost of care for women with unsafe abortion or post-abortion complications treatment is 159 and 333 million $US, respectively ( 8 ).…”