Madebo T, G/Tsadic T
Sidamo Regional Hospital, Yirgalem, Ethiopia.
Ethiop Med J. 1993 Jul;31(3):165-72.
A six month prospective study on various aspects of abortion was conducted from April 1, 1991 to Sept. 30, 1991 in Sidamo Regional Hospital (Yirgalem). A total of 185 cases of abortion were seen. Of these, 64 (35%) were induced and 121 (65%) were spontaneous. There were 2 deaths in the illegally induced group abortion, 1 death in the other group. Induced abortion was higher in age group 20-24 (61%), single (65%), unemployed (70%), nulliparous (48%) and 7-12 grade educational level (67%). The pregnancy was unwanted in all cases of induced abortion and in 50 (41%) of the spontaneous cases. The common instruments used for inducing abortion were plastic catheters (58%) and metallic instruments (32%). The abortionists were mainly health workers (55%). The mean hospital stay was 6.3 days for illegally induced and 2.1 days for spontaneous abortions. The incidence of septic abortion was found to be statistically significantly higher in induced than in spontaneous abortion (p < 0.001) while haemorrhagic shock was not (p > 0.05). The type of anaesthesia and required procedure are also analyzed in this study. Eighty-eight percent of the study population did not use any type of contraception. The role of contraception in preventing unwanted pregnancy and therefore induced abortion is discussed.
1991年4月1日至1991年9月30日，在锡达莫地区医院（伊尔加莱姆）对堕胎的各个方面进行了为期6个月的前瞻性研究。共观察到185例堕胎病例。其中，64例（35%）为人工流产，121例（65%）为自然流产。非法人工流产组有2例死亡，另一组有1例死亡。人工流产在20 - 24岁年龄组（61%）、单身者（65%）、无业者（70%）、未生育者（48%）以及教育程度为7 - 12年级者（67%）中占比更高。所有人工流产病例以及50例（41%）自然流产病例中的妊娠均为意外妊娠。用于人工流产的常见器械为塑料导管（58%）和金属器械（32%）。施行堕胎者主要是卫生工作者（55%）。非法人工流产的平均住院天数为6.3天，自然流产为2.1天。发现人工流产中感染性流产的发生率在统计学上显著高于自然流产（p < 0.001），而失血性休克则不然（p > 0.05）。本研究还分析了麻醉类型和所需手术。88%的研究对象未使用任何避孕措施。讨论了避孕在预防意外妊娠及由此导致的人工流产方面的作用。
