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Related Experiment Videos

Methodological issues in the South African incomplete abortion study

R K Jewkes1, S Fawcus, H Rees

  • 1CERSA-Women's Health, Centre for Epidemiological Research in Southern Africa, Medical Research Council, Pretoria, South Africa.

Studies in Family Planning
|October 10, 1997
PubMed
Summary

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This study on incomplete abortion in South Africa found that women rarely admitted to induced abortions, and clinical assessments of sepsis and induction were unreliable. Methodological challenges limit the accuracy of determining abortion origins.

Area of Science:

  • Public Health
  • Epidemiology
  • Reproductive Health

Background:

  • Incomplete abortion presents a significant public health challenge, particularly in resource-limited settings.
  • Understanding the epidemiology and management of incomplete abortion is crucial for effective healthcare interventions.
  • Previous methods for estimating the proportion of induced abortions have faced limitations.

Purpose of the Study:

  • To describe the epidemiology and hospital management of incomplete abortion cases in South Africa.
  • To evaluate the reliability of clinical opinion in assessing sepsis and the likelihood of induced abortion.
  • To identify methodological issues in a national hospital-based study on incomplete abortion.

Main Methods:

  • A national hospital-based study was conducted in South Africa in 1994.
Keywords:
Abortion FailureAbortion, InducedAbortion, SepticAfricaAfrica South Of The SaharaClassificationData AnalysisData QualityDeveloping CountriesDiseasesEnglish Speaking AfricaEstimation TechnicsFamily PlanningFertility Control, PostconceptionPregnancy ComplicationsResearch MethodologyResearch ReportRetrospective StudiesSouth AfricaSouthern AfricaStudies

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  • Data were collected over a two-week period from a random sample of public hospitals.
  • The World Health Organization (WHO) protocol was adapted for data collection and analysis.

    • Main Results:

    • A small proportion of women acknowledged induced abortions, with few showing evidence of interference.
    • Clinical assessments of sepsis and the likelihood of induction were found to be highly unreliable.
    • The WHO-protocol method for estimating abortion origins was found to be of limited usefulness.

    Conclusions:

    • Methodological limitations significantly impact the interpretation of incomplete abortion data.
    • Future research should consider alternative approaches to accurately assess abortion origins.
    • The study highlights the unreliability of clinical judgment in determining the etiology of incomplete abortions.