Perfil epidemiologico, complicções e custo do aborto clandestino, comparação com aborto hospitalar e parto, em Maputo, Moçambique




The general objective of the study was to identify characteristics of women who were hospitalized with complications of clandestine abortion in the Central Hospital of Maputo, Mozambique, and to evaluate the health and economic cost of that practice. In the long run is to prevent unwanted pregnancies and lowering maternal morbidity and mortality. This was a case-control study in which the way the last pregnancy ended was the dependent variable when studying socio-demographic characteristics. At the same time it was an analytic, prospective study, in which the way pregnancy ended was the independent variable to study complications and hospital costs. The sample size was 400 women for each of the following three groups of pregnancy termination: clandestine abortion, hospital based abortion and delivery. A structured pretested questionnaire was used for the interviews. The information was entered into a database and the analysis was carried out with SPSS. A form developed by IPAS to evaluate hospital costs was used. Statistical analysis was done using chi-square, Fisher s exact test and Student s t-test. Women in the clandestine abortion group were younger, a larger percentage was primigravida and they had fewer abortions than those in the other groups. Their number of living children was similar to that of women with hospital based abortions. In the clandestine abortion group, schooling was lower than in the hospital based abortion group, but higher than in the delivery group. A smaller proportion of women in the clandestine abortion group lived with a partner when compared with the two other groups, and they were more frequently newcomes to the city of Maputo than the hospital abortion group. A significant proportion of women in the clandestine group had no religious affiliation when compared with the other groups. The housing conditions of women in the clandestine group were the same as those of the delivery group, but much worse than those of with hospital abortion. More of the partners of women in, the clandestine abortion group were unemployed when compared to the partners of the group of hospital based abortions. Knowledge about contraceptive methods was very high in all groups but use was lower in the clandestine abortion group than in the group with hospital abortions. Complications, blood transfusions, consumption of third generation antibiotics and of infusion solutions (IV) and mean length of hospital stay were very high in the clandestine abortion group and negligible in the other two groups. Deaths were observed only in the first group. The mean cost per patient in the clandestine abortion group was US$ 100 compared to US$ 12 in the hospital based abortion group and US$ 18 in the delivery group. The author concludes that clandestine abortion had more negative effects on women s health than hospital abortions or delivery. Women hospitalized for clandestine abortion complications represented a cost nine and five times greater than that of women who had a hospital based abortion as a delivery, respectively


aborto - moçambique aborto - complicações - moçambique

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