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Differences in Life-Saving Obstetric Hemorrhage Treatments for Women with Abortion Versus Nonabortion Etiologies in Tanzania.

Authors
  • Smith, Lauren
  • Therrien, Michelle Skaer
  • Harley, Kim G
  • Mbuyita, Selemani
  • Mtema, Zacharia
  • Kinyonge, Iddajovana
  • Tillya, Robert
  • Mbaruku, Godfrey
  • Miller, Suellen
Type
Published Article
Journal
Studies in family planning
Publication Date
Dec 01, 2019
Volume
50
Issue
4
Pages
375–393
Identifiers
DOI: 10.1111/sifp.12101
PMID: 31506958
Source
Medline
Language
English
License
Unknown

Abstract

Complications from unsafe abortion are among the major causes of preventable maternal morbidity and mortality, which may be compounded by delays and disparities in treatment. We conducted a secondary analysis of women with symptoms of hypovolemic shock secondary to severe obstetric hemorrhage in Tanzania. We compared receipt of three lifesaving interventions among women with abortions versus other maternal hemorrhage etiologies. Interventions included: non-pneumatic anti-shock garment (NASG) (N = 393), blood transfusion (N = 249), and referral to a higher-capacity facility (N = 131). After controlling for severity of disease and other confounders, women with abortion-related hemorrhage and shock had 78 percent decreased odds of receiving NASG (p < 0.001) and 77 percent decreased odds of receiving a blood transfusion (p < 0.001) compared to women with hemorrhage and shock from other etiologies. Our findings suggest that, in Tanzania, women with abortion-related hemorrhage received lower quality of care than women with other hemorrhage etiologies. © 2019 The Population Council, Inc.

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