Factors associated with abortion among clients who attend selected health facilities in Bushenyi Ishaka municipality Uganda.
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Date
2009-01
Authors
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Volume Title
Publisher
Kampala International University, School of Health Sciences
Abstract
Introduction globally, abortion mortality accounts for at least 13% of all maternal mortality. Maternal mortality is 600,000 deaths per year due to pregnancy-related causes, and 99% of these deaths are in developing countries (WHO 2008). Abortions occur at a rate of 54 per 1,000 women aged 15–49 and account for one in five pregnancies. (Prada, E et al 2005). Methods. It was a retrospective cross-sectional study conducted in Kampala international university teaching hospital and Ishaka Adventist hospital, to find out factors associated with abortion among clients who attend the health facilities. A period of three months May, June and July 2013 were considered. Purposive sampling was used to select 96 clients, only those who were diagnosed of abortion and had all the necessary information were considered from both hospitals. 72 files were selected from Ishaka Adventist Hospital and 24 files from Kampala International Hospital because more clients attend Ishaka Adventist Hospital than Kampala International Hospital. Objectives. To identify factors associated with abortion among clients who attend selected health facilities in Bushenyi- Ishaka Municipality Specifically; to find out the social demographic characteristics of clients, Establish the commonest type of abortion among clients. To identify medical factors associated with abortion among clients who attend selected health facilities in Bushenyi- Ishaka Municipality. Results Low social economic status, age group of 20-24 years (30.5%), being married (86.5%) and being single but co habiting (11.5%) are positively associated with abortion. Banyankole from Nyabubale (13.5%), Ishaka (10.4%), MItooma(9.3%), Kigoma (6.2%) and Kakanju (6.2) have an increased risk of abortion. Most abortions were spontaneous (87.5%), incomplete (65.6%), with no identifiable cause (79.2%) only (9.4%) were induced.
Conclusion, the majority of clients were of low social economic status and most abortions were spontaneous incomplete, with no identifiable cause. Most of them were married and between 20-24 years. Recommendations 1. Massive health education programmes should be conducted to teach females of reproductive age especially in communities of Nyabubale, Ishaka, MItooma, Kigoma, and Kakanju villages about good sexual practices and quality antenatal care. 2. The government should ensure that free or affordable public sector contraceptive services reach all women especially the poor and young to reduce the risk of unplanned pregnancies which end up in abortion. 3. Research should be carried out in Nyabubale, Ishaka, MItooma, Kigoma, and Kakanju villages to find out why there are more abortions and to find out the cause of spontaneous abortion. 4. Economic empowerment in communities through formation of groups, working together and joining village banks to improve their social economic
Description
A research report submitted to the School of Clinical Medicine and Dentistry Kampala International University western campus in partial fulfillment for the award of a degree in Bachelor of Medicine and Bachelor of Surgery
Keywords
Abortion, Health facilities, Clients, Ishaka Municipality, Bushenyi, Uganda