title: Improving manual vacuum aspiration service delivery, introducing misoprostol for cases of incomplete abortion, and strengthening postabortion contraception in Bangladesh.
abstract: The Obstetrical and Gynaecological Society of Bangladesh was an important advocate in mobilizing government authorities to adopt new techniques for postabortion care and provide long-acting contraceptives post abortion. With the support of the International Federation of Gynecology and Obstetrics (FIGO), the Society provided commodities and training to increase the use of these techniques in 7 private and public hospitals and clinics. Data from two of these institutes for the January 2012 to June 2013 period showed a rapid decrease in the use of dilation and curettage, an increase in the use of manual vacuum aspiration (MVA) and misoprostol, and the progressive adoption of long-acting reversible contraceptives, permanent contraception, and injectable contraceptives in one of these two hospitals. The Directorates General of Health and Family Planning incorporated training in the use of MVA and misoprostol in their national operation plans. The success in these hospitals shows that the proposed changes have been well accepted by providers and clients.
authors.affiliation: Sir Salimullah Medical College, Dhaka, Bangladesh. Electronic address: fbegum9@gmail.com.
authors.forename: Ferdousi
authors.initials: F
authors.lastname: Begum
authors.affiliation: Institute of Ultrasonography and Ultrasound Clinic, Karachi, Pakistan.
authors.forename: Shahida
authors.initials: S
authors.lastname: Zaidi
authors.affiliation: Bangabondhu Shaikh Mujib Medical University, Dhaka, Bangladesh.
authors.forename: Parveen
authors.initials: P
authors.lastname: Fatima
authors.affiliation: Obstetrical and Gynaecological Society of Bangladesh, Dhaka, Bangladesh.
authors.forename: Latifa
authors.initials: L
authors.lastname: Shamsuddin
authors.affiliation: Obstetrical and Gynaecological Society of Bangladesh, Dhaka, Bangladesh.
authors.forename: A K M
authors.initials: AK
authors.lastname: Anowar-ul-Azim
authors.affiliation: Holy Family Red Crescent Medical College, Dhaka, Bangladesh.
authors.forename: Rowshan Ara
authors.initials: RA
authors.lastname: Begum
mesh_terms: D000020:Abortifacient Agents, Nonsteroidal / Q000008:administration & dosage*; D000027:Abortion, Incomplete / Q000628:therapy*; D000359:Aftercare / Q000379:methods; D001459:Bangladesh; D003267:Contraception / Q000379:methods; D003270:Contraceptive Agents / Q000008:administration & dosage; D004107:Dilatation and Curettage / Q000379:methods; D005260:Female; D006801:Humans; D007390:International Agencies / Q000458:organization & administration; D016595:Misoprostol / Q000008:administration & dosage*; D011247:Pregnancy; D012955:Societies, Medical / Q000458:organization & administration; D014619:Vacuum Curettage / Q000379:methods*
chemical_list: D000020:Abortifacient Agents, Nonsteroidal; D003270:Contraceptive Agents; D016595:Misoprostol
keywords: FIGO initiative; Incomplete abortion; Manual vacuum aspiration; Misoprostol; Postabortion care; Postabortion contraception; Prevention; Unsafe abortion