Practice of Manual Intrauterine Aspiration for Post- Abortion Care (PAC): Prospective Study of 137 Cases at Owendo’s CHU Maternity Hospital

Objective: Describe and analyze the practice of MIA in our environment with a view of contributing to the reduction of morbidity and maternal mortality.

Methodology: Descriptive and analytical cross-sectional study, conducted at the motherhood of Owendo’s CHU for 24 months, from 1 January 2017 to 31 December 2018. All women who consulted for incomplete abortions with gestational terms below 12 SA were enrolled. The management consisted of uterine evacuation by MIA. For each patient we studied socio-demographic and pregnancy variables, MIA practice, morbidity and maternal mortality.

Results: One hundred and thirty-seven patients were eligible, representing a frequency of 5.5%. The average age of patients was 26.58±1.68 years, with predominance for 16-24 years old. The mean gestational age was 8.13±1.57 SA, 76 cases (55.47%) were aborted and 69 cases (90.79%) were clandestine. The treatment consisted of uterine evacuation. In 89 cases (64.96%). This was done with the electric vacuum cleaner (EMIA) versus 48 cases (35.04) for SMIA. The use of general anesthesia was necessary for 12 cases (8.75%), medical resuscitation 9 cases (6.57%) and resuscitation 1 case (0.73%) with p-value equal to 0.001 and 0.01 respectively for induced abortions. The average length of hospital stay was 1.8±2.08 hours. No maternal deaths were observed.

Keywords: Abortion care after abortion; MIA-Maternal death