%0 Journal Article
%T Abortion in Uganda: Magnitude and Implications
%A AK Mbonye
%J African Journal of Reproductive Health
%D 2000
%I Women's Health and Action Research Centre (WHARC)
%X This study was conducted to assess the status of safe motherhood in Uganda. A total of 97 health units, 30 hospitals, and 67 lower health units were included in the sample. Altogether, 335,682 deliveries, 302 maternal deaths, and 2,978 abortions were documented over a period of one year, with a computed abortion ratio of 8,346 per 100,000 live births and maternal mortality ratio of 846 per 100,000 live births. As high as 340 (11.4%) abortions had occurred in one of the health centres in that year. A total of 1,638 (55%) of the abortions occurred in adolescent girls aged 17¨C20 years; and 1,575 (52.9%) of mothers who had abortions were not married. Six hundred and eighty five (23%) of all abortion cases resulted into complications _ haemorrhage 378 (52.2%), localised infections 238 (34.8%), uterine perforation 60 (8.7%) and cervical injury 9 (4.3%). Capacity to manage abortion complications was found to be limited; 39 (40.2%) of health units were able to manage abortion complications. Of those 39 health units, 31 (79.5%) had a vacuum extractor. Only 2 (2%) had a committee to review abortion cases. (Afr J Reprod Health 2000; 4[2]: 104¨C108) R¨¦sum¨¦ L'Avortement en Ouganda: Ampleur et Implications. L'¨¦tude a ¨¦t¨¦ men¨¦e dans le but d'¨¦valuer le statut de la maternit¨¦ sans risque en Ouganda. En tout, 97 services de sant¨¦, 30 h pitaux et 67 services de sant¨¦ de statut moins ¨¦lev¨¦ ont fait partie de l'¨¦chantillon. Dans l'ensemble, au cours d'une ann¨¦e on a document¨¦ 335,682 accouchements, 302 d¨¦c¨¨s maternels et 2978 avortements, avec un rapport d'avortement de 8,346 par 100,000 naissances vivantes et d'un rapport de mortalit¨¦ maternelle de 846 par 100,000 naissances vivantes. Des avortements dont le nombre remontait jusqu'¨¤ 340 (11.4%) ont eu lieu dans un des services de sant¨¦ au cours de cette ann¨¦e¨Cl¨¤. 1638 (55%) des avortements se sont produits chez les adolescentes ag¨¦es de 17 ¨C 20 ans. 1,575 (52,9%) des m¨¨res qui ont eu l'avortement n'¨¦taient pas mari¨¦es. 685 (23%) de tous les cas d'avortement ont abouti ¨¤ des complications: h¨¦morragie 378 (52,2%), infection localis¨¦e 238 (34,4%), rupture de l'ut¨¦rin 60 (8,7%) et traumatismes cervicaux 9(4,3%). On a trouv¨¦ que la capacit¨¦ de traitement des complications des avortements ¨¦tait limit¨¦e; 39(40,2%) des services de sant¨¦ ¨¦taient capables de traiter les complications des avortements. Parmi les 39 services de sant¨¦, 31(79,5%) poss¨¨dent une ventouse obst¨¦tricale. Seulement 2(2%) avaient un comit¨¦ pour r¨¦viser les cas d'avortement. (Rev Afr Sant¨¦ Reprod 2000; 4[2]: 104¨C108) Key Words: Abortion, maternal mortality, abortion care, life saving skills, ratio
%U http://www.ajol.info/index.php/ajrh/article/view/7715