| publication name | Treatment with misoprostol by midwives is safe and effective |
|---|---|
| Authors | A badawy; A Elnashar |
| year | 2015 |
| keywords | misoprostol, abortion, midwifes |
| journal | Lancet |
| volume | 385 |
| issue | 9985 |
| pages | 2335-2337 |
| publisher | Not Available |
| Local/International | International |
| Paper Link | Not Available |
| Full paper | download |
| Supplementary materials | Not Available |
Abstract
Incomplete abortion is defi ned as the presence of retained products of conception with no well-defi ned gestation sac. It is a potentially life-threatening condition that without well-timed and proper treatment can lead to severe complications such as haemorrhagic shock, sepsis, and death. Abortion-related complications still contribute substantially to maternal morbidity and mortality in sub-Saharan Africa. Backup treatment of complications from unsafe abortion and spontaneous abortion (post-abortion care) is an eff ective intervention to reduce maternal mortality. The postabortion care model consists of emergency treatment of abortion-related complications, post-abortion contraceptive counselling, and free contraception. The lack of physicians in many low-income countries restricts women’s access to post-abortion care. In Africa, the shortage of trained health-care providers is greatest in rural and remote areas where maternal mortality and morbidity is highest.