Lassey A T
Department of Obstetrics and Gynaecology, Korle-Bu Teaching Hospital, Ghana Medical School, Accra, Ghana.
East Afr Med J. 1995 Dec;72(12):774-7.
Two hundred and twelve patients were admitted because of complications of induced abortions. 58% of those abortions had been performed outside designated health institutions despite the liberalisation of the abortion law in Ghana about ten years ago. Ghanaian society still seems to perceive abortions as illegal or unethical and hence to be procured clandestinely. The overall mortality rate was 2.4% whilst the case fatality rate for septic abortions was over three times this rate. The surgical intervention rate was high at about 94%. Over 50% of laparotomies were for ectopic pregnancy. Suspicion of ectopic pregnancy must always be borne in mind if undue delay in their management is to be avoided in all cases of complicated induced abortions especially when the patients have risk factors. None of the patients used a modern contraceptive method over the three months preceding the index pregnancy and post-arbortal contraceptive counselling was infrequent. Effective and widespread contraceptive use and continuing education of doctors remain pivotal if the incidence of abortions and their complications are to be reduced.
212名患者因人工流产并发症入院。尽管加纳大约在十年前放宽了堕胎法，但这些堕胎中有58%是在指定医疗机构以外进行的。加纳社会似乎仍然认为堕胎是非法或不道德的，因此需要秘密进行。总体死亡率为2.4%，而感染性流产的病死率超过这一比率的三倍。手术干预率很高，约为94%。超过50%的剖腹手术是针对异位妊娠的。在所有复杂人工流产病例中，特别是当患者有危险因素时，为避免治疗不当延误，必须始终考虑到异位妊娠的可能性。在本次妊娠前三个月，没有患者使用现代避孕方法，流产后避孕咨询也很少见。如果要降低堕胎及其并发症的发生率，有效且广泛地使用避孕措施以及对医生进行持续教育仍然至关重要。
