Management outcomes of abortion among child bearing age women visited atat hospital for comprehenssive abortion care gurag zone south Ethiopia

Abstract

Background; Abortion is termination of pregnancy before fetal viability, which is conventionally taken to be less than 28 weeks from the last normal menstrual period or a birth weight of less than 1000gm. Abortion is more than a medical issue, or an ethical issue, or a legal issue. Thus information on management outcome of abortion is paramount important for regulatory bodies. However, there is paucity of information in this regard particularly in the study area. Objectives- To assess the management outcome of abortion among child bearing age women visited Attat hospital for abortion care from March 2005-Febrwary 2006E.C. Methods- Facility based cross sectional study design was conducted by collecting data through retrieving available records of clients visited Attat hospital for abortion care from March 2005ec-February 2006ec. Data edited entered and cleaned, into computer then, analyzed using SPSS 16.0.1.statical software, Logistic regression was done to see the association between the independent and the dependent variables. P-Value <0.05 at 95% CI was taken as statically significant throughout the analysis and finally, the result was presented using texts, tables, and graphs. Result; A total of 274 abortion case records reviewed at Attat hospital. Majority 111 (40.5%) where age range of 20-34 years, about half 139 (50.7%) were from outside Attat 100(36.5%) were paid >300 birr, 113 (41.3%) had 1-4 delivery, 208 (75.9%) had no history of still birth, 164 (59.9%) had history of abortion once and 104(38%) had gestational age of 8-12 weeks Out of the total clients, 142(51.8%) were presented with incomplete abortion , 65(23.7%) came to hospital with moderate+ degree of complication , 115(42%) was induced abortion 77(28.1%) had known causes for spontaneous abortion,51(18.6%)were self induced, 140(51.1%) were managed by E & C, 97(35.4%) were not improved for mgt. Age, (AOR=0.293(0.2-0.6)/p=0.01, )complication at the time of presentation to hospital(AOR= 0.289, (0.4-0.2)/ p=0.005), and history of still birth(AOR=0.326(0.2-0.7), p v= 0.017), are the independent factor affecting management outcome of abortion at Attat Hospital( at P<0.05) Conclusion; Age, complication at time of presentation to hospital and history of still birth are the independent factors affecting management outcome of abortion at Attat Hospital. Thus, special emphasis should be given by clinician in Attat Hospital for clients with Age ranges between 20-34 years, with moderate and above degree of complication at the time of presentation to hospital, and history of still birth to overcome poor management outcome of abortion