Diallo F S, Traoré M, Diakité S, Perrotin F, Dembélé F, Diarra I, Dolo A
Hôpital national du Point G, Service de gynécologie-obstétrique, Bamako, Mali.
Sante. 2000 Jul-Aug;10(4):243-7.
We carried out a descriptive retrospective study over a period of one year, in the Gynecology and Obstetrics Referrals Department of Gabriel-Touré Hospital at Bamako. We analyzed 1,081 files of patients presenting at the department with complications of spontaneous or induced abortion. We identified and studied 189 cases of illegal induced abortions. The patients were young (mean age 21.8 years), of a low socioeconomic level and most (71.4%) had no living child. The gestational age of the fetus was less than 12 weeks for 19.5% of the women and between 13 and 16 weeks for 47.6%. The abortions were carried out by traditional practitioners (3.7%), general practitioners (9%), trainee nurses (10.5%) and state nurses and midwives (57.1%). In more than half the cases (71.4%), the abortion took place at the home of the practitioner. Several methods of abortion were used (e.g. curettage, uterine probes). In 44.4% of the cases, the woman refused to comment on the reasons for the abortion. The other women cited mostly academic reasons (20.63% of cases) and fear of their parents (13.22%). The main reasons for consultation were bleeding (51.3%), hyperthermia (35.4%), pain (9. 52%) and neurological problems (3.1%). Three types of complication were identified: bleeding (47%), infectious complication (33.3%) and drug poisoning (4.2%). The rate of maternal mortality was 10% and the management of the patients required surgical (from curettage to hysterectomy) and medical treatment, with a mean stay in hospital of 10 days.
我们在巴马科的加布里埃尔 - 图雷医院妇产科转诊部进行了为期一年的描述性回顾性研究。我们分析了1081例因自然流产或人工流产并发症前来该科室就诊的患者档案。我们识别并研究了189例非法人工流产病例。患者较为年轻（平均年龄21.8岁），社会经济水平较低，且大多数（71.4%）没有存活子女。19.5%的女性胎儿孕周小于12周，47.6%的女性胎儿孕周在13至16周之间。堕胎由传统从业者（3.7%）、全科医生（9%）、实习护士（10.5%）以及国家护士和助产士（57.1%）实施。在超过半数的病例（71.4%）中，堕胎在从业者家中进行。使用了多种堕胎方法（如刮宫、子宫探针）。在44.4%的病例中，女性拒绝说明堕胎原因。其他女性大多提及学业原因（20.63%的病例）和害怕父母（13.22%）。就诊的主要原因是出血（51.3%）、高热（35.4%）、疼痛（9.52%）和神经问题（3.1%）。识别出三种并发症类型：出血（47%）、感染性并发症（33.3%）和药物中毒（4.2%）。孕产妇死亡率为10%，患者的治疗需要手术（从刮宫到子宫切除）和药物治疗，平均住院时间为10天。
