Clinic-based surveillance of adverse pregnancy outcomes to identify induced abortions in Accra, Ghana.
Reliable measures of induced abortion remain elusive, especially when the public perception is that the procedure is immoral or improper. This study draws on interviews using a modified preceding birth technique (PBT) with women attending antenatal and maternity clinics in Accra to compare rates of adverse pregnancy outcomes (stillbirths, miscarriages, and induced abortions) with rates from a household maternity history and the Ghana Demographic and Health Survey. The reports from the antenatal clinics produced some of the highest rates for adverse outcomes of pregnancy. In light of the generally high coverage of antenatal services found even in developing countries, the method based on the PBT holds promise for the improvement of reports of miscarriage and abortion worldwide.
Oliveras
Elizabeth
E
Health Systems and Infectious Diseases Division, International Centre for Diarrhoeal Disease Research, Bangladesh, G.P.O. 128, Dhaka, Bangladesh. eoliveras@icddrb.org
Ahiadeke
Clement
C
Adanu
Richard M
RM
Hill
Allan G
AG
D000028:Abortion, Induced / Q000706:statistics & numerical data*; D000022:Abortion, Spontaneous / Q000453:epidemiology; D000293:Adolescent; D000328:Adult; D000554:Ambulatory Care Facilities; D005260:Female; D005869:Ghana / Q000453:epidemiology; D006801:Humans; D010865:Pilot Projects; D011247:Pregnancy; D011256:Pregnancy Outcome; D011295:Prenatal Care; D050497:Stillbirth / Q000453:epidemiology; D011795:Surveys and Questionnaires