Unsafe Abortion with Perforated Cervical Injury and Consequential Severe Haemorrhage: A Call for Multi-Sectoral Action. “Case Report”
Asian Research Journal of Gynaecology and Obstetrics, Volume 6, Issue 1,
Page 51-57
Abstract
Unsafe abortion is a leading but preventable cause of maternal morbidity and mortality. Nearly 73 million induced abortions occur globally every year, about half of which are unsafe, thus resulting in different degree of complications. This case reports the experience of a young unmarried woman who suffered a life-threatening haemorrhage from punctured injury to the cervix, resulting in false tract creation during the procedure of unwanted pregnancy termination performed by a quack. She was successfully managed, offered post abortion counselling and contraceptive among other post abortion care.
Unsafe abortion is a global phenomenon unlimited by national boundaries. The brunt is deeply suffered by women in developing countries. To tackle these problems, multi-sectoral efforts should be aimed at improving access to contraceptives in a non judgemental, adolescent friendly manner. Human rights issues surrounding illiteracy, unemployment, and socio-cultural deprivation infringe upon women should be eradicated through gender sensitive legislations and women friendly policies. Global approach involving political stakeholders and public health to discuss the alarming rate of unsafe abortion and galvanize resources at improving family planning services.
- Unsafe abortion
- cervical punctured injury
- life threatening hemorrhage
- post abortion care
- gender sensitive legislations
How to Cite
References
Bearak J, Popinchalk A, Ganatra B, Moller AB, Tunçalp Ö, Beavin C, et al. Unintended pregnancy and abortion by income, region, and the legal status of abortion: Estimates from a comprehensive model for 1990–2019. Lancet Glob Health. 2020;8(9):e1152-e1161.
Ganatra B, Gerdts C, Rossier C, Johnson Jr BR, Tuncalp Ö, Assifi A, et al. Global, regional, and subregional classification of abortions by safety, 2010–14: Estimates from a Bayesian hierarchical model. The Lancet; 2017.
Bankole A, Oye-Adeniran BA, Singh S, Adewole IF, Wulf D, Sedgh G, Hussain R. Unwanted pregnancy and induced abortion in Nigeria: Causes and consequences. New York: Guttmacher Institute; 2006.
Coast E, Lattof SR, Meulen Rodgers YV, Moore B, Poss C. The microeconomics of abortion: A scoping review and analysis of the economic consequences for abortion care-seekers. Plos One. 2021;16(6): e0252005.
Lattof SR, Coast E, Rodgers YVM, Moore B, Poss C. The mesoeconomics of abortion: A scoping review and analysis of the economic effects of abortion on health systems. Plos One. 2020;15(11): e0237227.
Fact sheet: Abortion. Geneva: World Health Organization; 2021.
Towards a supportive law and policy environment for quality abortion care: Evident brief. Geneva: World Health Organization; 2022.
Rodgers YVM, Coast E, Lattof SR, Poss C, Moore B. The macroeconomics of abortion: A scoping review and analysis of the costs and outcomes. Plos One. 2021;16(5):e0250692. DOI: 10.1371/journal.pone.0250692 PMID: 33956826; PMCID: PMC8101771
Vlassoff et al. Economic impact of unsafe abortion-related morbidity and mortality: Evidence and estimation challenges. Brighton, Institute of Development Studies, (IDS Research Reports 59); 2008.
Fetters T, Samandari G, Djemo P, Vwallika B, Mupeta S. Moving from legality to reality: How medical abortion methods were introduced with implementation science in Zambia. Reprod Health. 2017; 14(1):26.
Abortion Care Guidelines [Internet]. Geneva: World Health Organization; 2022.
-
Abstract View: 29 times
PDF Download: 19 times
