TITLE:
Medical Interruption of Pregnancy in the Second Trimester at the Principal Clinic of the Togolese Association of Family Well-Being Planning Center (ATBEF): About 25 Cases
AUTHORS:
Bingo Kignomon M’bortche, Baguilane Douaguibe, Kossi Edem Logbo-Akey, Dédé Regina Ajavon, Tina Ayoko Ketevi, Akila Bassowa, Francis Baramna-Bagou, Koffivi Toovi-Madjé, Abdoul-Samadou Aboubakari, Koffi Akpadza
KEYWORDS:
Medical Termination of Pregnancy, Indications, Technique, Togo
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.12 No.1,
January
26,
2022
ABSTRACT: Introduction: Medical termination of pregnancy is a therapy that considerably reduces
the number of obstetrical complications that can lead to maternal death and the
number of births of children with diseases or malformations that are
incompatible with life. Objective: To study the practice of medical
termination of pregnancy at the Principal Clinic of the Togolese Association of
Family Well-Being Planning Center (ATBEF). Methodology: This was a
retrospective and descriptive study conducted at the
Principal Clinic of the Togolese Association of Family Well-Being Planning
Center (ATBEF) covering the period from May 1st, 2012 to April 30th, 2021, i.e. a period of 9 years. All
patients who underwent a medical termination of
pregnancy during the study period and whose term of pregnancy was Fetal, maternal and obstetric causes were
the main indications for medical termination of pregnancy in respectively 28%,
20% and 52%. Obstetrical ultrasound was performed in 100% of patients.
These ultrasounds allowed us to determine fetal vitality and to find some fetal
malformations (28%) and some anomalies in the fetal appendages (48%). Clinical
examination alone was used to diagnose 24% of indications. In 68% of cases, the
clinical examination and ultrasound were used to establish the indication. The
most commonly used evacuation technique was medication in 88% of cases.
Caesarean section was chosen for urgent cases in 12%. Uterine haemorrhage and
post-abortion endometritis were the main complications. Conclusion: Medical termination of pregnancy is a delicate subject requiring
multidisciplinary management. This series has allowed us to highlight our
singularities, and will allow us to improve the management of our patients, in
the prevention of haemorrhage and other complications.