Voluntary Induced Abortion in Cameroon: Prevalence, Reasons, and Complications

Ngowa, Jean Dupont Kemfang; Neng, Humphry Tatah; Domgue, Joël Fokom; Nsahlai, Christiane; Kasia, Jean Marie

doi:10.4236/ojog.2015.59069

Cited by 15 publications

(24 citation statements)

References 14 publications

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“…These practices are usually associated to high rate of post-abortion complications and contribute to keep maternal mortality high. This high rate of unplanned pregnancy among women with unmet need for contraception could explain the high rates of voluntary induced abortions reported by Ngowa et al in the Wum Health District [ 7 ]. The low rate of met contraceptive demand reported in this survey is a call to the government and family planning providers to improve access to contraception and modify the sensitization and persuasion techniques in order to break the cultural barriers and beliefs associated with family planning.…”

Section: Discussionmentioning

confidence: 99%

“…The rate of voluntary induced abortions in Cameroon remains very high and varies from urban to rural zones. In a cross sectional survey in Cameroon (2011), the rate of voluntary induced abortions in Yaoundé (Urban) was 25.6% against 27.1% in rural setting (Wum District Hospital) [ 7 ]. Increasing the use of modern contraception in Cameroon will go a long way to reduce the already high rates of voluntary induced abortions and their complications.…”

Section: Introductionmentioning

confidence: 99%

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Contraceptive use and determinants of unmet need for family planning; a cross sectional survey in the North West Region, Cameroon

et al. 2018

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BackgroundReducing unmet need for family planning by increasing the rate of modern contraceptive use is indispensable if Cameroon must meet maternal mortality targets of the Sustainable Development Goals. The objective of this survey was to estimate the rate of contraceptive use and identify factors associated with unmet need for family planning in rural Cameroon.MethodsIt was conducted a community-based cross sectional survey from February to March 2016 targeting women in a union of the Wum Health District. Participants were included by cluster multistep sampling and data collected by trained surveyors using a pretested questionnaire. Data were analysed using Epi-Info version 3.5.4. The odds ratio was used as a measure of association between unmet need for family planning and selected covariates with the statistical significant threshold set at p ≤ 0.05.ResultsAmong the 466 women included in the survey, 78.5% were legally married. The mean age of the participants was 28.7 ± 7.2 years with a mean number of years of cohabitation of 9.1 ± 7.4 years. A total of 438 women from the sample were evaluated for contraceptive use and unmet need for family planning. The rate of modern contraceptive use at the time of the survey was 13[10.1–16.6]% and about 5 in every 10 women had an unmet need for family planning (46.6[41.8–51.4]%) with 31.1% having an unmet need for spacing and 15.5% an unmet need for limiting births. The potential demand for contraception was estimated at 45.9% with only 39.8% of this demand met.When controlled for age, monthly revenue, occupation and partner’s level of education, discussion of family planning within the couple (OR = 0.66[0.44–0.97], p-value = 0.032), and partner’s approval of contraception (OR = 0.66[0.45–0.97], p-value = 0.035), were found to be significantly associated with decreasing unmet need for family planning.ConclusionWith the very low rates of modern contraceptive use and potential demand for contraception in the Wum Health District, the rate of unmet need for family planning is still very high. Non discussion of family planning within the couple, and disapproval of contraception by the partner are significantly associated with high unmet need for family planning. More of couple-based family planning interventions should be encouraged.Electronic supplementary materialThe online version of this article (10.1186/s12905-018-0660-7) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Contraceptive use and determinants of unmet need for family planning; a cross sectional survey in the North West Region, Cameroon

et al. 2018

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“…Situation described by several authors. 4,7,11,12 This is explained by the method used (curettage) and by the quality of the operators, who most of the time are not gynecologists and all lack cautious and precautionary. 4 Diane in 2 observations and Lebeau in his study show a high rate of non-specialist doctors respectively 100% and 60%.…”

Section: Discussionmentioning

confidence: 99%

Illegals abortions and utero-digestives lesions: retrospective study of 12 cases in the Department of Gynecology and Obstetrics at the Treichville teaching hospital (Abidjan, Cote D’ivoire)

Yao

Menin

N’dri

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Background: Traumatic intestinal digestive damage after abortion by endo-uterine manoeuvres are not uncommon. The purpose of this study is to describe the diagnostic, therapeutic and prognostic aspects of these lesions.Methods: This is a retrospective study of 3 years on patients with a uterine lesion associated with a digestive traumatic injury during illegal abortions endo-uterine manoeuvres.Results: 12 patients with a median age of 23, 9 are included. The clinical manifestations are not specific: impairment of the general condition 33.3%; hyperthermia 83.3% (or 10 cases); digestive disorders such as diarrhoea 25%, vomiting 33.3%; abdominal pain 100%; occlusive syndrome 16.7%; acute abdominal syndrome 75%. The seat of traumatic injuries is variable. The lesions were for hail alone in 4 cases (33.3%), colon alone for 2 cases (16.7%), rectum 1 case and epiploon 2 cases. In these 3 cases, the lesions were associated, sitting on both the hail and the colon at a time. All these lesions were associated with uterine perforation of variable siege. The therapeutic management consisted of a small bowel resection with ileostomy in 5 cases or 41.7%; colon resection with colostomy 3 cases or 25%; suture lesions after beveling beiges 5 cases either 41, 7 in 2 cases, we performed haemostasis on the bleeding epiploon. Treatment of the uterine lesion was conservative 75% of the time. The evolution on the 10 patients was favorable, 83.3%. Two patients died early in the operative course after septic shock.Conclusions: The digestive lesions are a factor aggravating the prognosis of post-abortion uterine manoeuvres. Their management must be rapid and requires close collaboration between the digestive surgeon and the Gynecologist.

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“…Abortion is a serious condition in obstetrics and gynaecology. In Cameroon global figures on abortion are absent but a recent study reported that 26.3% of women attending obstetrics/gynaecological clinics have had a voluntary induced abortion [ 3 ]. Abortion is one of the main causes of maternal death worldwide and especially in sub Saharan Africa.…”

Section: Discussionmentioning

confidence: 99%

Small bowel exteriorisation after uterine perforation from manual vacuum aspiration for abortion in a young cameroonian: a case report

Bechem¹,

Leopold²,

Ako³

2016

Pan Afr Med J

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Manual vacuum aspiration is an effective and safer surgical method of uterine evacuation for an abortion. Nonetheless, it can present some life-threatening complications like uterine perforations. In a uterine perforation the suction cannula is thought to be usually involved in the perforation and the resulting intraabdominal organ damage. We presented a case of a young muilti-parous Cameroonian woman who was underwent a manual vacuum aspiration for a first trimester incomplete abortion, and which was complicated by a fundal uterine perforation with exteriorisation of small bowels through the vagina.

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Voluntary Induced Abortion in Cameroon: Prevalence, Reasons, and Complications

Cited by 15 publications

References 14 publications

Contraceptive use and determinants of unmet need for family planning; a cross sectional survey in the North West Region, Cameroon

Contraceptive use and determinants of unmet need for family planning; a cross sectional survey in the North West Region, Cameroon

Illegals abortions and utero-digestives lesions: retrospective study of 12 cases in the Department of Gynecology and Obstetrics at the Treichville teaching hospital (Abidjan, Cote D’ivoire)

Small bowel exteriorisation after uterine perforation from manual vacuum aspiration for abortion in a young cameroonian: a case report

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