评估拉杰沙希医学院医院住院病例中产妇人工流产的发病率和死亡率

Marzina Khatun, Shadia Sharmin Sultana, Rehana Parven, Sharifa Begum, Mousumee Mondal
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摘要

背景:流产是指24周前终止妊娠。据世卫组织称,缺乏适当技能或医疗标准的不安全人工流产在发展中国家每年造成6.7万人死亡。确保获得安全和合法的堕胎服务对于在全球降低孕产妇死亡率和保障妇女健康至关重要。目的:本研究的目的是了解在我们的设置中,与人工流产终止意外妊娠相关的孕产妇死亡率和发病率。方法:对2014年3月至2014年9月在Rajshahi医学院附属医院住院的92例人工流产患者进行横断面研究,经知情书面同意的患者最终入选本研究。将患者的详细病史、临床检查调查和手术记录收集在预先编制的数据表中。数据以表格和图表的形式呈现。资料采用描述性统计,本研究采用显著性水平0.05。结果:92例患者中出血15例(16.3%),低血容量性休克9例(9.8%),全身性腹膜炎10例(10.9%),盆腔腹膜炎34例(36.9%),子宫穿孔5例(5.4%),宫颈损伤4例(4.3%),肠穿孔1例(1.1%),感染性休克2例(2.2%),急性肾功能衰竭2例(2.2%),无重大并发症10例(10.9%)。92例患者好转出院86例(93.5%),死亡6例(6.5%)。结论:人工流产是妇科常见病,需要住院治疗。它具有严重的短期和长期并发症,影响妇女的健康和生活。
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To Asses Maternal Morbidity and Mortality of Induced Abortion among Admitted Cases in Rajshahi Medical College Hospital, Rajshahi
Background: Abortion is pregnancy termination before the 24th week. Unsafe induced abortions, lacking proper skills or medical standards, cause 67,000 annual deaths in developing countries, according to WHO. Ensuring access to safe and legal abortion services is critical to reducing maternal mortality and safeguarding women's health globally. Objectives: The aim of this study was to find out maternal mortality as well as morbidity related to induce abortion for termination of unwanted pregnancy in our set up. Methods: A cross-sectional study was conducted on 92 patients who admitted as cases of induced abortion in Rajshahi Medical College Hospital from March' 2014 to September 2014Those who had given informed written consent was finally enrolled in this study. Patients' details history, clinical examination investigation, and operation note was collected in a preformed data sheet. Data was presented in the form of tables and graphs. Data was presented with descriptive statistics the level of significance of 0.05 was used for this study. Results: Among 92 patients were 15(16.3%) hemorrhage, 9(9.8%) hypovolemic shock, 10(10.9%) generalized peritonitis, 34(36.9%) pelvic peritonitis5 (5.4%) perforation of uterus, 4(4.3%) cervical injury, 1(1.1%) perforation of gut, 2(2.2%) septic shock, 2(2.2%) acute renal failure, 10(10.9%) no major complication. Among 92 patient 86 (93.5%) patients were improved and discharged and 6(6.5%) patients were expired. Conclusion: Induced abortion is a common gynecological problem requiring hospital admission and treatment. It has serious short term and long-term complications affecting women's health and life.
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