| Complications from induced abortion in Bangladesh related to types of practitioner and methods, and impact on mortality. | |
| | |
MedLine Citation:
|
PMID: 6109865 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Health-workers in 795 health centres in Bangladesh were interviewed about complications arising from induced abortion in rural Bangladesh. 1590 cases of complications from abortion were reported. Dais (traditional birth attendants) and traditional practitioners were the larger groups of operators (42.1% and 18.1%, respectively). Menstrual regulation or dilatation and curettage (the medically approved procedures) were used 9.1% of the time. Nearly half the complicated abortions were induced by inserting a foreign object, such as a stick or root (sometimes treated with an herb), into the uterus and leaving it until either abortion or complications ensued. 498 abortion-related deaths were reported. The proportion of complicated abortions resulting in death was lowest for medically approved procedures (4.9%) and highest for vigorous physical activity (100%) and abdominal pressure (66.7%), although the last two together accounted for only 2.3% of abortion procedures. Women who died after abortion were more likely than were women who survived to be further along in their pregnancies. An extrapolation from these results gives a figure of 780000 abortions in Bangladesh in 1978 and 7800 deaths that year from abortion complications. Many of these deaths might have been prevented if a means of safe, affordable termination of unwanted pregnancy had been available. Induced abortion, although illegal, is common in Bangladesh. A number of health workers were interviewed in 1978-79 in 795 health centers to investigate the magnitude of the problem in rural areas. There were 1590 reported cases of complicated abortions, of which 498, i.e. 31.3% were fatal. 42.1% of abortions were performed by traditional birth attendants, and 18.1% by traditional practitioners; a very small number was performed by husbands, or by the women themselves. Medically approved procedures for abortion, such as dilatation and curettage and menstrual regulation, were used only in 9.1% of cases. Most abortions were caused by inserting a foreign object, such as a stick, into the uterus. Abortion complications after medically approved procedures were only 4.9%. Fatal cases were more likely to occur in advanced pregnancies. It is estimated that in 1978 there were 780,000 abortions in Bangladesh, resulting in 7800 deaths. |
| | |
Authors:
|
A R Measham; M Obaidullah; M J Rosenberg; R W Rochat; A R Khan; S Jabeen |
Related Documents
:
|
12311665 - Role of extra amniotic rubber catheters in midtrimester pregnancy termination. 11934535 - Pregnancy outcome of women who failed appointments at a teratogen information service c... 742315 - Postconceptional prostaglandin therapy. 6710185 - The impact of u.s. family planning programs on births, abortions and miscarriages, 1970... 16968315 - Reducing the risk of peripherally inserted central catheter line complications in the o... 11341175 - Changes of maternal serum natural antibodies of igg class to proteins mbp, s100, acbp14... |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Lancet Volume: 1 ISSN: 0140-6736 ISO Abbreviation: Lancet Publication Date: 1981 Jan |
Date Detail:
|
Created Date: 1981-04-21 Completed Date: 1981-04-21 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 2985213R Medline TA: Lancet Country: ENGLAND |
Other Details:
|
Languages: eng Pagination: 199-202 Citation Subset: AIM; IM; J |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Abortion, Induced
/
adverse effects*,
methods,
mortality Bangladesh Female Humans Medicine, Ayurvedic Pregnancy Risk Rural Health |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Heart rate changes in diabetes mellitus.
Next Document: Hypercalcaemia in hospital patients. Clinical and diagnostic aspects.