Mahomed K, Chawapiwa A
Department of Obstetrics and Gynaecology, University of Zimbabwe, Avondale, Harare.
Cent Afr J Med. 1992 Jun;38(6):233-7.
To determine socio-demographic characteristics and clinical features of women presenting with abortion, and to define factors associated with complications of abortion.
A prospective descriptive study.
Women in Gynaecology casualty department at Harare Central Hospital, Harare, Zimbabwe.
307 women with features of complete or incomplete abortion were interviewed during February to June 1991. They were randomly selected and represented 53pc of all women with the problem.
Three quarters of the women were married and lived with their spouses. In 23.1pc this was a first pregnancy. Over a quarter of the women who were on the pill claimed to have fallen pregnant whilst on the pill, mainly because of poor compliance. One hundred and twenty-two were not on the pill but in only 16pc it was intended to fall pregnant. In nearly 30pc the pregnancy was not wanted but only 2.3pc admitted to having induced the abortion. Sepsis was present in 25.6pc and they tended to be younger, not presently married and have an unplanned pregnancy. Although there was some evidence of trauma in 6.2pc, it was not possible from the study to assess the percentage of abortion likely to have been induced.
Contraceptive usage is generally low and cultural and traditional factors may play a role, but expanded sex education programmes and continued contraceptive counselling need reinforcing before attempts are made to review the legal issues regarding termination.
确定出现流产情况的女性的社会人口学特征和临床特征，并明确与流产并发症相关的因素。
前瞻性描述性研究。
津巴布韦哈拉雷市哈拉雷中心医院妇科急诊部的女性。
1991年2月至6月期间，对307名有完全流产或不完全流产特征的女性进行了访谈。她们是随机选取的，占所有有该问题女性的53%。
四分之三的女性已婚并与配偶同住。23.1%的女性此次为首次怀孕。超过四分之一服用避孕药的女性称在服药期间怀孕，主要原因是依从性差。122名女性未服用避孕药，但其中只有16%是计划怀孕。近30%的怀孕是意外怀孕，但只有2.3%的女性承认进行了人工流产。25.6%的女性存在败血症，她们往往更年轻、未婚且意外怀孕。尽管有6.2%的女性有一些创伤迹象，但从该研究中无法评估可能是人工流产导致的流产比例。
避孕措施的使用率普遍较低，文化和传统因素可能起了作用，但在试图审查有关终止妊娠的法律问题之前，需要加强扩大性教育项目和持续的避孕咨询。
