Improving manual vacuum aspiration service delivery, introducing misoprostol for cases of incomplete abortion, and strengthening postabortion contraception in Bangladesh

Abstract The Obstetrical and Gynaecological Society of Bangladesh was an important advocate in mobilizing government authorities to adopt new techniques for postabortion care and provide long-acting contraceptives post abortion. With the support of the International Federation of Gynecology and Obst...

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Bibliographic Details
Published in:International journal of gynecology and obstetrics 2014-07, Vol.126 (S1), p.S31-S35
Main Authors: Begum, Ferdousi, Zaidi, Shahida, Fatima, Parveen, Shamsuddin, Latifa, Anowar-ul-Azim, A.K.M, Begum, Rowshan Ara
Format: Article
Language:English
Subjects:
Abortifacient Agents, Nonsteroidal - administration & dosage
Abortion, Incomplete - therapy
Aftercare - methods
Bangladesh
Contraception - methods
Contraceptive Agents - administration & dosage
Dilatation and Curettage - methods
Female
FIGO initiative
Humans
Incomplete abortion
International Agencies - organization & administration
Manual vacuum aspiration
Misoprostol
Misoprostol - administration & dosage
Obstetrics and Gynecology
Postabortion care
Postabortion contraception
Pregnancy
Prevention
Societies, Medical - organization & administration
Unsafe abortion
Vacuum Curettage - methods
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Summary:Abstract The Obstetrical and Gynaecological Society of Bangladesh was an important advocate in mobilizing government authorities to adopt new techniques for postabortion care and provide long-acting contraceptives post abortion. With the support of the International Federation of Gynecology and Obstetrics (FIGO), the Society provided commodities and training to increase the use of these techniques in 7 private and public hospitals and clinics. Data from two of these institutes for the January 2012 to June 2013 period showed a rapid decrease in the use of dilation and curettage, an increase in the use of manual vacuum aspiration (MVA) and misoprostol, and the progressive adoption of long-acting reversible contraceptives, permanent contraception, and injectable contraceptives in one of these two hospitals. The Directorates General of Health and Family Planning incorporated training in the use of MVA and misoprostol in their national operation plans. The success in these hospitals shows that the proposed changes have been well accepted by providers and clients.
ISSN:0020-7292
1879-3479
DOI:10.1016/j.ijgo.2014.03.004