TITLE:
Clandestine Abortion in Bangui, Central African Republic
AUTHORS:
N. R. Ngbale, A. Koïrokpi, K. Mbano-Dede, S. Matoullou-Mbala, C. E. Gaunefet, A. Manirakiza, A. Sepou
KEYWORDS:
Abortion, Management, Bangui
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.10 No.5,
May
20,
2020
ABSTRACT: Introduction: The clandestine abortions remain a major health problem in developing
countries including the Central African Republic. At the main maternity
hospital of Bangui in the Central African Republic, a study conducted in 2000
indicates that clandestine abortions (CAs) accounted for 43.4% of
all abortions recorded in the service. The purpose of our study was to evaluate
the evolution of CAs about the health care management efforts made over the
last 4 years. Patients and Methods: We conducted a prospective descriptive and analytical study over a
period of 4 years (from January 2016 to December 2019). This study focused on
the complications of clandestine abortions that occurred during the course of
our study at the HCB reference maternity hospital. Results: We identified 267 clandestine abortions for 783 spontaneous abortions.
The frequency of CAs was 34.1%. The highest number of CAs was observed in
patients aged between 20 and 24 years with an average age of 23.7
years. The average parity was 2.6. It appeared in our study that students were
the most represented (40.8%). Rescuers were the most incriminated (29.2%) in
clandestine abortion (CA). Infectious complications predominated in
(79.1%) of cases. Antibiotic therapy was almost systematic (96.6%). Laparotomy
was performed in (38.9%) cases. The proportion of deceased women who had a
pregnancy of more than 12 weeks was higher with a statistically significant
difference (p 0.001). Conclusion: Abortion affects all women regardless of age, parity, marital status and
socio-economic status.