摘要
Introduction: This article is an analysis of post-abortion care in 56 health facilities after their capacity building by the Burkina Faso Society of Obstetricians and Gynecologists (SOGOB). Patients and Methods: In 2012, with funds from Safe Abortion Action Fund, the SOGOB trained care providers and equipped 56 health facilities for post abortion care. Statistical data on the management of incomplete abortions after the capacity building were analyzed. The significance level was set at 0.05. Results: There were 6316 cases of abortion that have been managed in 56 health facilities. The evacuation of the uterine contents for incomplete abortion has been provided to 6167 patients. Manual vacuum aspiration (MVA) and misoprostol were used respectively in 69.4% and 26.9% of cases to evacuate uterine content. Post-treatment complications were 1.8% for MVA and 0.9% for misoprostol (p = 0.004). MVA’s complication rate in the health facilities of the 1<sup>st</sup> level of care (1.7%) was not different from the third level of care (1.2%) with p = 0.21. A modern method of contraception was provided after abortion to 65.7% of the patients. In addition to the post abortion care, 7.3% of the patients received other reproductive health services. The community was involved in the development process of post abortion care in the facilities of the first level of care. Conclusion: The support of health facilities by SOGOB has provided post abortion care to thousands of women with little complications. Given the good results, an extension to other health facilities is desirable.
Introduction: This article is an analysis of post-abortion care in 56 health facilities after their capacity building by the Burkina Faso Society of Obstetricians and Gynecologists (SOGOB). Patients and Methods: In 2012, with funds from Safe Abortion Action Fund, the SOGOB trained care providers and equipped 56 health facilities for post abortion care. Statistical data on the management of incomplete abortions after the capacity building were analyzed. The significance level was set at 0.05. Results: There were 6316 cases of abortion that have been managed in 56 health facilities. The evacuation of the uterine contents for incomplete abortion has been provided to 6167 patients. Manual vacuum aspiration (MVA) and misoprostol were used respectively in 69.4% and 26.9% of cases to evacuate uterine content. Post-treatment complications were 1.8% for MVA and 0.9% for misoprostol (p = 0.004). MVA’s complication rate in the health facilities of the 1<sup>st</sup> level of care (1.7%) was not different from the third level of care (1.2%) with p = 0.21. A modern method of contraception was provided after abortion to 65.7% of the patients. In addition to the post abortion care, 7.3% of the patients received other reproductive health services. The community was involved in the development process of post abortion care in the facilities of the first level of care. Conclusion: The support of health facilities by SOGOB has provided post abortion care to thousands of women with little complications. Given the good results, an extension to other health facilities is desirable.
作者
Sibraogo Kiemtoré
Hyacinthe Zamané
Yobi Alexis Sawadogo
Charlemagne Marie Ouédraogo
Dantola Paul Kaïn
Abdoule Azize Diallo
Issa Ouédraogo
Adama Dembélé
Ali Ouédraogo
Blandine Thiéba
Jean Lankoandé
Sibraogo Kiemtoré;Hyacinthe Zamané;Yobi Alexis Sawadogo;Charlemagne Marie Ouédraogo;Dantola Paul Kaïn;Abdoule Azize Diallo;Issa Ouédraogo;Adama Dembélé;Ali Ouédraogo;Blandine Thiéba;Jean Lankoandé(Department of Obstetrics and Gynecology, Yalgado Ouedraogo Teaching Hospital in Ouagadougou, Ouagadougou, Burkina Faso;Unity of Training and Research in Health Sciences (UFR/SDS), University of Ouagadougou, Ouagadougou, Burkina Faso;Department of Obstetrics and Gynecology, Centre Hospitalier Régional de Ouahigouya, Ouahigouya, Burkina Faso;Department of Obstetrics and Gynecology and Reproductive Health, Sanou Sourou Teaching Hospital, Bobo-Dioulasso, Burkina Faso;Higher Institute of Science Health, Polytechnic University of Bobo-Dioulasso, Bobo-Dioulasso, Burkina Faso)