R. Baig
Speeches:
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Situation analysis of family health hospitals of
Rahnuma-FPAP about the preparedness to provide
effective post-termination of pregnancy care
services
Baig, R
Rahnuma-Family Planning Association of Pakistan (FPAP), MA of
IPPF London, UK
This study is a situation analysis of 10 family health hospitals of
FPAP regarding their preparedness to provide effective PAC
services. There were 14 service providers in 10 hospitals in the
study. The most common procedure used for treating women
coming with miscarriage or incomplete termination of pregnancy
(TOP) was manual vacuum aspiration (MVA) (71.4%), followed
by D&C (64.3%). The most common procedures followed for
women coming with complications of induced TOP done
elsewhere were MVA (85.7%) and D&C (57.1%). In 71.4% cases,
surgical procedures for incomplete TOP were performed on the
same day. The three most common complications were infection
(92.9%), haemorrhage (78.6%) and pelvic inflammatory disease
(78.6%). Length of gestation up to which surgical procedures for
incomplete TOP was performed, was up to 4 weeks (14.3%), up
to 12 weeks (42.6%), followed by 13–20 weeks (21.4), more than
20 weeks (14.3%). A majority of the providers used analgesia,
anxiolytic/sedation/tranquilizers for conducting surgical
procedures for incomplete TOP of <8 weeks (64.3%), 9–13 weeks
(57.1%), 13–20 weeks (21.3%) and >20 weeks (14.2%). The
aborted fetus/products of conception were incinerated (35.5%),
burnt (14.2%), thrown in open pit or garbage (14.2%), burnt and
covered (21.3%) and others (14.2%). Three main reasons of
choosing the hospital were doctors/staff being well behaved
(52.8%), good reputation/better care (40%) and less waiting time
(16.7%). In the present study, 51.4% clients were very satisfied
and 22.2% were satisfied, while 20.8% classified the services as
average. Only 4.2% were dissatisfied or highly dissatisfied.