Scholars International Journal of Obstetrics and Gynecology (SIJOG)
Volume-3 | Issue-11 | 222-226
Original Research Article
Management of Incomplete Abortions by the Manual Intra Uterine Suction Technique at Sylvanus Olympio Teaching Hospital of Lome-Togo
Ameyo Ayoko Ketevi, Baguilane Douaguibe, Akila Bassowa, Dede Regine Diane Ajavon, Assiaham Walawita Tenete, Samira AYABA, Nagbe Massogblé Kodjo Koffi, Kodjo Fiagnon, Abdoul-Samadou Aboubakari
Published : Nov. 23, 2020
Abstract
Objective: to assess the management of incomplete abortions using the manual intrauterine aspiration technique (MIUA) in the Obstetric Gynecology clinic of the SO CHU. Method: This is a retrospective, descriptive study that took place at the gynecology and obstetrics clinic of the SO University of Lomé, over a period of 12 months (January to December 2017). Results: Of the 7440 pregnancies recorded, there were 460 abortions, (6.18%). Among the abortions, there were 126 cases of incomplete abortions managed by the MIUA, a frequency of 27.39%. The average age was 27 years with extremes of 13 and 54 years. Local anesthesia coupled with verbacaine has been used in all of our patients. The use of analgesics by injection before and after aspiration was systematic. Red blood cells were prescribed in 13.5% of cases, fresh frozen plasma in 4.8% of cases and antianemics in 90.48% of cases. All of our women (100%) had fluids, antibiotics, analgesics and syntocinon. In 64.29%, our patients had not adopted a contraceptive method after counseling. In contrast, 22.22% of them opted for the pills. Conclusion: Abortions, whether spontaneous or induced, constitute a public health problem and therefore require adequate management. The availability and simplicity of the MIUA technique are definite advantages.