WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Review Journal for Medical Science and Pharma Professionals
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ISSN 2457-0400

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Indexing

Abstract

POSTABORTION CARE (PAC) COUNSELING FOR IMPROVING FAMILY PLANNING UTILIZATION AT OMDURMAN MATERNITY HOSPITAL (OMH), SUDAN 2018 - 2019

Umbeli T.*, Fatin A. M. Attia, Elmahgoub A., Suaad Elnour, Salah Ismail, Khadiga Abdallah, O. Gasmelseid Elhussein, Kunna A., Mohamed H. Idris and Murwan I. O.

ABSTRACT

Objectives: To assess the effect of post miscarriage family planning counseling for improving postabortion family planning (PAFP) utilization at OMH 2018- 2019. Methods: An interventional study done at OMH, in Khartoum, Sudan, 2018 -2019. Renovation of the family planning unit and the PAC ward had been done and required supplements were availed. Situation analysis, and training of health care providers was done before implementing the study. All patients presented for PAC, were included in the study after an informed consent during the period from January to December 2018. Data was collected by trained data collectors, reviewed by the authors and analyzed using SPSS version 22.0. Results: A total of 3280 women were admitted for PAC services, representing 9.1% of the total hospital’s admission, 2887(88%) were included in the study, 393 (12%) were excluded for gynecological or medical problems. All postabortion (PA) women were counseled for family planning, of them; 2485 (86.1%) were discharged with a contraception leading to a significant rise of utilization after intervention from 42% to 86.1%. The combined oral contraceptive pills (COC) were commonly used 76%, followed by; implants 10.0%, intra-uterine devices (IUDs) 9.1%, progesterone only pills (POP) 3.6% and 1.3% depot-medroxyprogesterone acetate (DMPA) injections. Conclusion: Training of health care providers (HCP), good counseling, and availing of affordable wide range of contraceptives have clearly improved uptake of PAFP and a rise in choice of long acting reversible contraceptives (LARCs). Effective implementation of PAFP will ensure secondary prevention of unintended pregnancy, unsafe abortions and maternal mortality.

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