Author(s)

Lhagadang Foumsou^1,2*, Guira Daniel Dangar^1,2, Ouchémi Choua³, Sadjoli Damthéou^1,2, Bray Madoué Gabkika¹, Olivier Moalloum Tarda⁴, Rostand Dounou Njiki⁴

¹Department of Gynecology and Obstetrics, University of N’Djamena, N’Djamena, Chad.
²N’Djamena Mother and Child Hospital, N’Djamena, Chad.
³Department of Surgery, University of N’Djamena, N’Djamena, Chad.
⁴UNFPA, City, Chad.

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 1^st, 2015 to January 31^st, 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.

Clandestine Induced Abortion, Motivations, Complications, Maternity, Chad

Foumsou, L. , Dangar, G. , Choua, O. , Damthéou, S. , Gabkika, B. , Tarda, O. and Njiki, R. (2017) Problematic of Clandestine Induced Abortions in Three Maternity Hospitals of Chad. Open Journal of Obstetrics and Gynecology, 7, 937-943. doi: 10.4236/ojog.2017.79094.