Prise en charge des avortements incomplets du premier trimestre au Centre Hospitalier Regional de Kara

Objectif: evaluer le profil epidemiologique, les aspects cliniques et therapeutiques des patientes admises pour avortement incomplet du premier trimestre. Methodes: Notre etude etait retrospective, descriptive du 1 er janvier 2016 au 30 juin 2018 soit 30 mois. Etaient inclues, toute patiente qui avait beneficie des soins apres avortement a la maternite du CHR Kara. Les services de planification familiale etaient disponibles 24h/24. Nous avons eu recours au registre des soins apres avortement pour la collecte des donnees. Les donnees ont ete traitees grâce a Epi Info. Resultats: Au cours de la periode d’etude, 2687 accouchements etaient effectues, nous avions enregistre 185 cas d’avortement soit une frequence de 6,9%. L’âge moyen etait de 26 ans avec des extremes de 15 ans a 45 ans. Les patientes etaient mariees (67,6%), menageres (35,1%) et paucipares (41%). Elles etaient venues d’elle-meme (74,1%) et admises pour avortement incomplet (n=159 soit 86%) ou grossesse arretee/oeuf clair (n=26 soit 14%). L’avortement provoque clandestin representait 17,8% (n=33). Toutes les patientes avaient beneficie d’un counseling pour la planification familiale. Quatrevingt et une patientes soit 43,8%avaient choisi une methode contraceptive dont pilules (53,1%), injectables (21%), preservatifs (17,3%), MLDA (8,6%) Conclusion: La prevalence du choix des methodes de longue duree d’action (MLDA) etait tres faible. Le counseling doit etre renforce pour sensibiliser les couples sur l’interet de la contraception du post abortum. Mots cles: Avortement incomplet, Soins apres avortement, Contraception, Togo English Title:  The management of incomplete abortion first trimester in Centre Hospitalier Regional de Kara English Abstract Objective: To evaluate the epidemiological profile, the clinical and therapeutic aspects of patients admitted for incomplete abortion in the first trimester. Methods: Our study was retrospective, descriptive from January 1st, 2016 to June 30th, 2018 ie 30 months. Included were any patient who had benefited from postabortion care  at CHR Kara maternities. Family planning services were available 24 hours a day. We used the postabortion care registry for data collection. The data was processed thanks to Epi Info Results: During the study period, 2687 deliveries were made, we recorded 185 cases of abortion, a frequency of 6.9%. The average age was 26 years old with extremes of 15 to 45 years old. The patients were married (67.6%), housewives (35.1%) and pauciparous (41%). They came from themselves (74.1%) and admitted for incomplete abortion (n = 159 or 86%) or pregnancy stopped / clear egg (n = 26 or 14%). Clandestine induced abortion accounted for 17.8% (n = 33). All patients had family planning counseling. Eighty-one patients (43.8%) chose a contraceptive method, including pills (53.1%), injectables (21%), condoms (17.3%), and MLDA (8.6%). Conclusion: The frequency of choice of long-acting methods was very weak. Counseling needs to be strengthened to educate couples about the value of post abortum contraception. Keywords: Incomplete abortion, Post abortion care; Contraception, Togo