الرعاية الصحية المقدمة لحالات الإسقاط و ما بعد الإسقاط في مستشفى التوليد و أمراض النساء الجامعي بدمشق : دراسة وصفية

Abstract EN

Background& Objective: Abortion is the most common complication during pregnancy up to 25% of clinically diagnosed pregnancies .It is the most common cause of maternal morbidity and mortality in the first trimester.

There is need to evaluate the quality of the services provided to the patients and to what extent it is compatible with new evidence based practices subsequently working on its development and updating This study aims at describing medical services provided to the patients both during and after abortion in the Maternity University Hospital.

Materials & Methods: this is a descriptive prospective study on 126 case of Abortion admitted to emergency department in the maternity university hospital in Damascus in the period from July 2009 to March 2010 ,using a questionnaire which has been filled after interviews with the patients and from their files about the types of abortion ,complications, medical management ,social and demographic characteristics of the women and history of any abortificiant drugs and the services provided inside the hospital .Data have been analyzed using SPSS Program taking in consideration ethical issues .

Results The essential component of the health services provided for abortion cases are Vaginal examination in 126 of the cases(100%),ultrasound OF the uterus in 126 cases(100%), uterine curettage in 109/126(86.5%), under general anesthesia in 100/126(79.3%),with coverage of antibiotics usually after surgical interventions in 75/126(60.9%) ,discharge with prescription in 116/116(1oo%),social and emotional support in 23/116(19.8%) of the women after abortion ,Counseling about contraceptive methods use before discharge from the hospital in only 12/116(10.3%).

The modern methods of uterine evacuation using manual vacuum aspiration and Misoprostol are not yet used .

Conclusion: Services provided in Maternity University Hospital in Damascus for abortion cases ensure the patient safety but still there is a need to improve the quality of the services ,providing them in integrated form and in agreement with evidence based medicine