Management outcome of incomplete abortion and its associated factors in Northwest Ethiopia: A health facility based cross-sectional study

• Published in: SSM - health systems 2024-12, Vol.3, p.100031, Article 100031
• Main Authors: Getie, Simegnew Asmer, Tadele, Getahun, Belay, Habtamu Gebrehana, Gemeda, Natnael Dechasa, Chekole, Fentahun Alemnew, Balcha, Wondu Feyisa
• Format: Article
• Language: English
• Subjects: Abortion; Infection; Management of abortion; Misoprostol; Sepsis; Unfavorable outcomes
• ISSN: 2949-8562; 2949-8562
• DOI: 10.1016/j.ssmhs.2024.100031

Incomplete abortion can be managed medically or surgically at a health facility by trained healthcare providers. However, women develop unfavorable management outcomes of incomplete abortion following initial management. This study aimed to assess the management outcome of incomplete abortion and its associated factors at Injibara General Hospital, Northwest Ethiopia. A health facility-based retrospective cross-sectional design was conducted from May 1/2018 to April 30/2020. A medical record review of 260 women who received abortion service was done and 236 cases managed for incomplete abortion were included in the study with a response rate of 90.8 %. Logistic regression analyses were employed to estimate the crude and adjusted odds ratio with a confidence interval of 95 % and a P-value of less than 0.05 considered statistically significant. The findings of this study showed that 12.3 % of the women developed unfavorable management outcomes of incomplete abortion. Women who are found in the age group of 15–25 years, gestational age >13 weeks, seek care after 24 hours of the onset of symptoms, and medical management of the incomplete abortion were associated with unfavorable management outcomes of incomplete abortion. Considering its effect on maternal health, this study showed that the unfavorable management outcome of incomplete abortion was higher. Women's age, gestational age, the timing of seeking care, and method of management were associated with unfavorable management outcomes of incomplete abortion. Therefore, it is necessary to counsel women on the danger signs of early pregnancy and the advantages of early care-seeking.