ArticleBMJ global health2021
Abortion-related near-miss morbidity and mortality in 43 health facilities with differences in readiness to provide abortion care in Uganda.
Article in BMJ global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 32 citations in OpenAlex.
- Evaluating women's acceptability of treatment of incomplete second trimester abortion using misoprostol provided by midwives compared with physicians: a mixed methods study.BMC women's health · 2022Trial
- Comparison of the effectiveness and safety of treatment of incomplete second trimester abortion with misoprostol provided by midwives and physicians: a randomised, controlled, equivalence trial in Uganda.The Lancet. Global health · 2022Trial
- Antibiotic Susceptibility Profiles and Determinants of Septic Abortion Among Women Admitted for Abortion Care in Ugandan Satellite Teaching Hospitals: A Two-Center Cross-Sectional Study.Health science reports · 2026Article
- Prevalence and factors associated with unsafe abortion among married women admitted to the gynecology ward at Lira regional referral hospital in Lira City Northern Uganda.BMC public health · 2025Article
- Balancing pragmatism, norms and power relations: a qualitative study among post-abortion intrauterine device users in central Uganda.Sexual and reproductive health matters · 2025Article
- Prevalence of, and Factors Associated with Hemodynamic Instability Among Women Presenting with Incomplete Abortion at a Tertiary Hospital in Southwestern Uganda.International journal of women's health · 2025Article
- Mapping the journey: enhancing abortion care in Uganda's health systems.Frontiers in reproductive health · 2025Article
- Article
- "Sometimes you have knowledge but lack the equipment to save a life": perspectives on health system barriers to post-abortion care in Liberia and Sierra Leone.Archives of public health = Archives belges de sante publique · 2024Article
- Measuring availability of and facility readiness to deliver comprehensive abortion care: experiences and lessons learnt from integrating abortion into WHO's health facility assessments.BMJ global health · 2024Review
- "I have come to remove it because of heavy bleeding": a mixed-methods study on early contraceptive implant removal and the underlying factors in eastern Uganda.Contraception and reproductive medicine · 2024Article
- Postabortion and safe abortion care coverage, capacity, and caseloads during the global gag rule policy period in Ethiopia and Uganda.BMC health services research · 2023Article
- Response to: "Are women equal? Considering impact of therapeutic abortion bans on science".Research and practice in thrombosis and haemostasis · 2022Article
- Preventing death following unsafe abortion: a case series from urban Uganda.AJOG global reports · 2022Article
- Article
- Maternal Mortality from Induced Abortion in Malawi: What Does the Latest Evidence Suggest?International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 5 countries.
Funding
Abstract
introductionWith a view to inform policy for improved postabortion care, we describe abortion-related near-miss and mortality by sociodemographic risk factors and management options by pregnancy trimester in Uganda.
methodsThis secondary data analysis used an adapted WHO near-miss methodology to collect cross-sectional maternal near-miss and abortion complications data at 43 health facilities in Central and Eastern Uganda in 2016-2017. We computed abortion severe morbidity, near-miss and mortality ratios per 100 000 live births, and described the proportion of cases that worsened to an abortion near-miss or death, stratified by geographical region and trimester. We tested for association between independent variables and abortion near-miss, and obtained prevalence ratios for association between second trimester near-miss and independent demographic and management indicators. We assessed health facility readiness for postabortion care provision in Central and Eastern regions.
resultsOf 3315 recorded severe abortion morbidity cases, 1507 were near-misses. Severe abortion morbidity, near-miss and mortality ratios were 2063, 938 and 23 per 100 000 live births, respectively. Abortion-related mortality ratios were 11 and 57 per 100 000 in Central and Eastern regions, respectively. Abortion near-miss cases were significantly associated with referral (p<0.001). Second trimester had greater abortion mortality than first trimester. Eastern region had greater abortion-related morbidity and mortality than Central region with facilities in the former characterised by inferior readiness to provide postabortion care.
conclusionsUganda has a major abortion near-miss morbidity and mortality; with mortality higher in the second trimester. Life-saving commodities are lacking especially in Eastern region compromising facility readiness for postabortion care provision.
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