Principal Investigator: Chelsea Morroni, MPH, MPhil, PhD, MBChB, DTM&H, DFSRH

Study Objectives:

To describe the state of post-abortion care at a major, tertiary care hospital and describe common post-abortion care complications, highlighting how HIV impacts post-abortion care and the complication of septic abortion. To achieve this objective we plan to :

  1. Determine the accuracy of the phrase “septic abortion” as a diagnosis in the register record of women presenting for post- abortion care at Princess Marina Hospital (PMH).
  2. Determine the risk factors associated with septic abortion in women presenting for post-abortion care.
  3. Determine the impact of HIV on the complexity of care for women who present for post-abortion care in Botswana.
  4. Determine the factors associated with HIV testing of individuals who present for acute post-abortion care.

Study Design:

A retrospective cross-sectional study to achieve the stated aims. Data will be extracted from review of admission records of women who presented for post abortion care. 

Study Population and Size:

Women of all ages who are admitted to PMH (gynaecology unit or ICU) seeking care for an abortion, whether spontaneous or induced between January 1st 2019 and December 31st 2019 with a diagnosis or complication related to an abortion. This includes inevitable abortion, missed abortion, incomplete abortion, septic abortion, vaginal haemorrhage secondary to abortion and injuries related to self-induced abortions

Total sample size for chart review: 810. Using the ward admission registry, we propose to identify all individuals admitted to the gynaecology ward or the intensive care unit at PMH for an abortion related complication between January 1st 2019 to December 31st 2019. Every third individual will be selected for inclusion in our study until we have identified a total of 810 charts for review.

Study duration: 1 year

Study Results: Study is on-going and no results yet.


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