Abstract
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-demographic,
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%.
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