ArticleInternational journal of environmental research and public health2018
The Use of Manual Vacuum Aspiration in the Treatment of Incomplete Abortions: A Descriptive Study from Three Public Hospitals in Malawi.
Article in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 20 citations in OpenAlex.
- Health care providers' knowledge and associated factors towards the components of post abortion care service in hospitals of Tigray, Northern Ethiopia.PLOS global public health · 2025Article
- Factors influencing the utilisation of Youth Friendly Health Services in Blantyre, Malawi.Health SA = SA Gesondheid · 2024Article
- "I was waiting for my period": Understanding pregnancy recognition among adolescents seeking abortions in Ethiopia, Malawi, and Zambia.Contraception · 2023Article
- Women's perceptions of and experiences with the use of misoprostol for treatment of incomplete abortion in central Malawi: a mixed methods study.Reproductive health · 2023Article
- Article
- Health care providers' perceptions of using misoprostol in the treatment of incomplete abortion in Malawi.BMC health services research · 2022Article
- Post-partum Thrombotic Thrombocytopenic Purpura with Puerperal Sepsis- A Case Report.Annals of medicine and surgery (2012) · 2022Article
- Experiences of Using Misoprostol in the Management of Incomplete Abortions: A Voice of Healthcare Workers in Central Malawi.International journal of environmental research and public health · 2022Article
- Complications of illegal abortion in the suburbs of Tehran: A 9-year cross-sectional study.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2021Article
- "Confidence comes with frequent practice": health professionals' perceptions of using manual vacuum aspiration after a training program.Reproductive health · 2019Article
- Teenage Reproductive Health: Pregnancy, Contraception, Unsafe Abortion, Fertility.International journal of environmental research and public health · 2018Article
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Authors and funding
6 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Malawi has a high maternal mortality rate, of which unsafe abortion is a major cause. About 140,000 induced abortions are estimated every year, despite there being a restrictive abortion law in place. This leads to complications, such as incomplete abortions, which need to be treated to avoid further harm. Although manual vacuum aspiration (MVA) is a safe and cheap method of evacuating the uterus, the most commonly used method in Malawi is curettage. Medical treatment is used sparingly in the country, and the Ministry of Health has been trying to increase the use of MVA. The aim of this study was to investigate the treatment of incomplete abortions in three public hospitals in Southern Malawi during a three-year period. All medical files from the female/gynecological wards from 2013 to 2015 were reviewed. In total, information on obstetric history, demographics, and treatment were collected from 7270 women who had been treated for incomplete abortions. The overall use of MVA at the three hospitals during the study period was 11.4% (95% CI, 10.7-12.1). However, there was a major increase in MVA application at one District Hospital. Why there was only one successful hospital in this study is unclear, but may be due to more training and dedicated leadership at this particular hospital. Either way, the use of MVA in the treatment of incomplete abortions continues to be low in Malawi, despite recommendations from the World Health Organization (WHO) and the Malawi Ministry of Health.
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