Aesha Sadaf Rizwan, Shazia Jang Sher, Umber Asad, Shazia Anwar, Irum Batool Hashmi, Shariq Ali Khan

Assessment of Post-abortion Care Services in Punjab Pakistan

Aesha Sadaf Rizwan, Shazia Jang Sher, Umber Asad, Shazia Anwar, Irum Batool Hashmi, Shariq Ali Khan



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ABSTRACT

Background: Globally, Post abortion and pregnancy complications such as sepsis, hemorrhage and hypertensive diseases are the prominent bases of maternal mortality. Post-abortion family planning and effective treatment for unintended pregnancies could provide high quality post-abortion care. Limited data available in Punjab, Pakistan regarding post-abortion care services in health system.

Aim: The purpose of the current study was to evaluate the post-abortion care services in health care system of Punjab, Pakistan.

Materials and Methods: This cross-sectional study was carried out on 226 post-abortion patients of multi health care centers of Punjab, Pakistan from November 2020 to April 2021. Individual’s history, age, demographic characteristics, reproductive history, post-abortion attitude were surveyed using pre-designed and structured questionnaire. Also, post-abortion care such as pain management, treatment cost, waiting time, service confidentiality, contraceptive device cost, and patient’s interaction as well as family planning were assessed. Stata software was used for data analysis.

Results: Of all the post-abortion cases, 207 (91.6%) were found satisfactory regarding post-abortion care. Effective pain management during treatment, treatment cost affordability, proper waiting time (< 0.5 hours), patient’s effective interaction, service’s confidentiality, and premises cleanliness were statistically significant when correlated with satisfied women (p-value<0.001). Conclusion: Our study found higher prevalence (91.6%) of post-abortion care satisfied women. However, effective treatment and regular follow-up should be assured for management of post-abortion complications such as services confidentiality, pain management, patient’s interaction and client’s optimal satisfaction with services.

Keywords: Assessment, Post-abortion care, Health facilities



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