Management of post abortion complications in Botswana -The need for a standardized approach
Publication Date
February 16, 2018
Authors
Tadele Melese, Dereje Habte, Billy M. Tsima, Keitshokile Dintle Mogobe, et al
Volume
13
Issue
2
Pages
e0192438
DOI
https://dx.plos.org/10.1371/journal.pone.0192438
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0192438
Scopus
85042217250
Mendeley
http://www.mendeley.com/research/management-post-abortion-complications-botswana-need-standardized-approach
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Mendeley | Further Information

{"title"=>"Management of post abortion complications in Botswana -The need for a standardized approach", "type"=>"journal", "authors"=>[{"first_name"=>"Tadele", "last_name"=>"Melese", "scopus_author_id"=>"55995466500"}, {"first_name"=>"Dereje", "last_name"=>"Habte", "scopus_author_id"=>"57190660065"}, {"first_name"=>"Billy M.", "last_name"=>"Tsima", "scopus_author_id"=>"55241783300"}, {"first_name"=>"Keitshokile Dintle", "last_name"=>"Mogobe", "scopus_author_id"=>"15070858200"}, {"first_name"=>"Mercy N.", "last_name"=>"Nassali", "scopus_author_id"=>"35754880800"}], "year"=>2018, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "doi"=>"10.1371/journal.pone.0192438", "sgr"=>"85042217250", "scopus"=>"2-s2.0-85042217250", "isbn"=>"1111111111", "pmid"=>"29451883", "pui"=>"620747483"}, "id"=>"743440ee-07b2-35c8-b5a9-70e55fdd3802", "abstract"=>"© 2018 Melese et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Background Post abortion complications are the third leading cause of maternal death after hemorrhage and hypertension in Botswana where abortion is not legalized. This study aimed at assessing the management of post abortion complications in Botswana. Methods A retrospective study was conducted at four hospitals in Botswana in 2014. Socio-demo-graphic, patient management and outcomes data were extracted from patients’ medical records. Descriptive statistics and chi-square test were used to analyze and present the data. Result A total of 619 patients’ medical records were reviewed. The duration of hospital stay prior to uterine evacuation ranged from less than an hour to 480 hours. All the patients received either prophylactic or therapeutic antibiotics. Use of parenteral antibiotics was significantly associated with severity of abortion, second trimester abortion, use of blood products and the interval between management’s decision and uterine evacuation. Uterine evacuation for retained products of conception was achieved by metallic curettage among 516 (83.4%) patients and by vacuum aspiration in 18 (2.9%). At all the study sites, Misoprostol or Oxytocin were used concurrently with surgical evacuation of the uterus. None use of analgesics or anesthetics in the four hospitals ranged between 12.4% to 28.8%. Conclusion There is evidence of delayed patient care and prolonged hospital stay. Metallic curette was the primary method used for uterine evacuation across all the facilities. Pain management and antibiotics use was not standardized. A protocol has to be developed with the aim of standardizing post abortion care.", "link"=>"http://www.mendeley.com/research/management-post-abortion-complications-botswana-need-standardized-approach", "reader_count"=>8, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Student > Doctoral Student"=>1, "Researcher"=>4, "Lecturer"=>1, "Student > Master"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Student > Doctoral Student"=>1, "Researcher"=>4, "Lecturer"=>1, "Student > Master"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>2, "Nursing and Health Professions"=>2, "Social Sciences"=>1, "Environmental Science"=>3}, "reader_count_by_subdiscipline"=>{"Social Sciences"=>{"Social Sciences"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>2}, "Unspecified"=>{"Unspecified"=>2}, "Environmental Science"=>{"Environmental Science"=>3}}, "group_count"=>0}

Scopus | Further Information

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