Andriamady R C, Ranjalahy R J, Fidison A
Centre Hospitalier Universitaire d'Antananarivo, BP 8394, 101 Antananarivo, Madagascar.
Arch Inst Pasteur Madagascar. 1999;65(1-2):90-2.
The purpose of this study is to assess the frequency of spontaneous and induced abortions at the Hospital Maternity of Befelatanana, in Antananarivo--City by 1997. The study was also carried out to identify causes and risk factors of abortions in order to draw up a control program. 958 abortion cases were counted. The patient average age was 28 old years. 289 cases (30.3%) of these abortions had complications, 1 out of 25 patients died. Some of causes of abortion have been specified: prior patient health, cultural, social and economic factors. Existence of abortions is a failure report of the Reproductive Heath Program. Abortion control must be based on sanitary education in which family planning is very important, on correct management of abortion cases and their complications. But all that is not possible if there are not improvements of the standard of living.
本研究的目的是评估1997年在塔那那利佛市贝费拉塔纳纳医院妇产科发生的自然流产和人工流产的频率。同时,开展该研究以确定流产的原因和风险因素,从而制定一个控制方案。共统计了958例流产病例。患者的平均年龄为28岁。这些流产病例中有289例(30.3%)出现了并发症,25名患者中有1人死亡。已明确了一些流产原因:患者先前的健康状况、文化、社会和经济因素。流产现象的存在是生殖健康计划的一项失败报告。流产控制必须基于健康教育(其中计划生育非常重要)、对流产病例及其并发症的正确管理。但如果生活水平没有提高,所有这些都不可能实现。