I would like to thanks you for your contribution to make think learn very easily by The thing I want to learned about public Health questions and answers for students will be much better than I thought before, And for me to be well competent student and It's my pleasure to be well trained health professional , When we work hard together we will make the world 🌎 better Anyway thanks for you for your contribution

1. 1|page
ASSESSMENT OF ABORTION TYPES AND ITS COMPLICATIONS WITH ITS
OUTCOME AMONG WOMEN WHO WERE ADMITTED FOR ABORTION AND POST
ABORTION CARE IN GAMBELLA GENERAL HOSPITAL, GAMBELLA TOWN,
ETHIOPIA
NILE COLLEGE GAMBELLA
COLLEGE OF HEALTH SCIENCES
DEPARTMENT OF MIDWIFERY
PRINCIPAL INVSETIGATOR: KIM JOCK RUACH
ADVISOR: KUOL DENG WANG (BSC, MPH)
A PROPOSAL RESEARCH PAPER SUBMITTED TO DEPARTEMENT OF
MIDWIFERY, COLLEGE OF HEALTH SCIENCES, NILE COLLEGE GAMBELLA IN A
PARTIAL FULLFILMENT OF THE REQUIREMENT FOR THE DEGREE OF
BACHELOR SCIENCE IN MIDWIFERY
GAMBELLA, ETHIOPIA
November, 2022

2. II | P a g e
Abstract
Background: Abortion is a sensitive and contentious issue with religious, moral, cultural, and
political dimensions. It is also a public health concern in many parts of the world. More than
one-quarter of the world’s people live in countries where the procedure is prohibit permitted
only to save the woman’s life. Yet, regardless of legal status, abortions still occur, and nearly
half of them are performed by an unskilled practitioner or in less than sanitary conditions, or
both.
Objective: The general objective of this study will be to assess the abortion types and its related
complication with their outcomes among women who were admitted for abortion and post
abortion care in Gambella General Hospital from November 2022 to April 2023
Method: The cross sectional study design will be used for both primary and secondary data
from November 2022 to April 2023 to assess abortion types, complication and its outcome
among all women who comes for abortion. The data will be collected from recorded documents
by using structured questionnaires by the data collectors together with Principal Investigator.
The source of and study population will be individual who visit Gambella General Hospital
before and during data collection period respectively. The data analysis will be done by using
Microsoft Office like Excel to describe the data using table bar and pie graphs for data
visualization.
Key word: abortion type, abortion complication, Gambella General Hospital, abortion
outcome.

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Table of Contents
Abstract................................................................................................................................................... II
ACKNOWLEDGMENT.........................................................................................................................V
ACRONOYMY AND ABREVATION.................................................................................................VI
List of Figure.........................................................................................................................................VII
List of Table.........................................................................................................................................VIII
CHAPTER 1: INTRODUCTION ........................................................................................................... 1
1.1. BACKGROUD OF THE STUDY............................................................................................... 1
1.2 STATEMENT OF THE PROBLEM .......................................................................................... 2
1.3. Significant of the study................................................................................................................ 4
CHAPTER TWO .................................................................................................................................... 5
2.1 Literature review........................................................................................................................... 5
2.1.1. Socio-demographic factors ................................................................................................... 5
2.1.2 Types of abortions and their complication............................................................................. 6
2.1.3 Outcomes of abortion related complications.......................................................................... 7
CHAPTER THREE: OBJECTIVES...................................................................................................... 8
3.1 General objective .......................................................................................................................... 8
3.2 Specific objectives ........................................................................................................................ 8
CHAPTER FOUR: METHODOLOGY.................................................................................................. 9
4.1 Study Area and Periods................................................................................................................. 9
4.2 Study design and Period.............................................................................................................. 9
4.3 Population ..................................................................................................................................... 9
4.3.1 Source population ................................................................................................................ 9
4.3.2 Study population ..................................................................................................................10
4.4 Inclusion and Exclusion criteria..................................................................................................10
4.4.1 Inclusion criteria..................................................................................................................10
4.4.2 Exclusion criteria.................................................................................................................10
4.5 Sample size determination ..........................................................................................................10
4.6 Sampling Procedure and technique.............................................................................................11
4.7 Study variables............................................................................................................................11
4.7.1 Dependent variables ............................................................................................................11
4.7.2 Independent variables..........................................................................................................11
4.8 Data collection ............................................................................................................................12
4.8.1 Data collector ......................................................................................................................12

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4.8.2 Data collection tool..............................................................................................................12
4.8.3 Data collection method........................................................................................................12
4.9 Data quality control.....................................................................................................................12
4.10 Data processing and analysis plan ............................................................................................12
4.11 Dissemination and utilization of results....................................................................................13
4.12 Ethical consideration..............................................................................................................13
4.13 Operational definitions..............................................................................................................13
Chapter 5: Work Plan and Budget ........................................................................................................14
References.............................................................................................................................................16
ANNEX 1: QUESTIONNAIRE ...........................................................................................................18

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ACKNOWLEDGMENT
First and for most, we would like to thank our almighty God that lets us to do all these works
and allow us to reach at the final stage of doing the research paper. In addition to this, we would
like to appreciate our family and right friends for their unforgettable assistance by providing
all inputs which can help us to achieve our goal. And we will give our heart-fully gratitude to
our advisor, his carefully advising.

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ACRONOYMY AND ABREVATION
DIC Disseminated Intravascular Coagulation
E/C Evacuation and Curettage
IUCD Intra Uterine Contraceptive Device
KM Kilo Meter
M Meter
AGH Gambella General Hospital
MVA Manual Vacuum Aspiration
PAC Post Abortion Care
PI Principal Investigator
SMMC Sever Maternal Medical Condition
UK United Kingdom
WHO World Health Organization

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List of Figure
Figure 1 Work plan description ............................................................................................................14

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List of Table
Table 1 Cost of stationary.....................................................................................................................15
Table 2 Summary of the total budget....................................................................................................15

9. 1|page
CHAPTER 1: INTRODUCTION
1.1. BACKGROUD OF THE STUDY
Abortion is a sensitive and contentious issue with religious, moral, cultural, and political
dimensions. It is also a public health concern in many parts of the world. More than one-quarter
of the world’s people live in countries where the procedure is prohibit permitted only to save the
woman’s life. Yet, regardless of legal status, abortions still occur, and nearly half of them are
performed by an unskilled practitioner or in less than sanitary conditions, or both [1].
Worldwide, each year more than 500,000 women, 99% of them in developing countries, die from
pregnancy and childbirth-related complications and an additional 15 to 20 million women suffer
from debilitating consequences of pregnancy. The major causes of maternal deaths are
hemorrhage, infection, obstructed labor, hypertensive disorders in pregnancy, and complications
of unsafe abortion. Maternal deaths due to unsafe abortion in developing countries fall within a
narrow range from 9% to 17% of all maternal deaths [2].
In sub-Sahara Africa, more than 77% of induced abortions are terminated in unsafe conditions and
account for 50% of maternal death, with the abortion rate in sub-Sahara Africa almost doubling
from 4.3 million to 8.0 million between 2019, 2021 and 2022 [3, 2]. In some countries, unsafe
abortion is the most common cause of maternal death. It is also one of the most easily preventable
and treatable condition. In Africa, the risk of dying after unsafe abortion is one in hundred fifty.
Unsafe abortion attribute to 4.7-13.2% of global maternal deaths [4].
In Africa 60% of unsafe abortions generally occurs in women below age 25 years and 40% occurs
in the adolescent age group. Based on this evidence, evaluation of post-abortion care is required
to ensure up-to-date health care of young women of reproductive age in African settings [5].
International awareness of abortion increased following the 1987 Safe Motherhood Conference in
Nairobi that drew attention to the need to reduce maternal mortality and morbidity. In many
developing countries, giving attention and solving the problem of abortion is a low priority for the
health service managers. Unsafe abortion is not only a medical problem but also a social problem.
Different sectors should be involved in solving this problem [7].

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In East Africa, the annual abortion rate for all women of reproductive age (15-49 years) is 34 per
1,000. Ethiopia has the world’s fifth-highest rate of maternal mortality, with one in every twenty-
seven women dying each year from pregnancy and childbirth complications [8].
Ethiopia is one of the low-income countries in sub-Sahara Africa with highest maternal morbidity
and mortality rates. The maternal mortality rate in Ethiopia was 412 maternal deaths per 100,000
live births, according to the 2016 Ethiopia Demographic and Health Survey (2016 EDHS) [4, 9].
It is estimated that there are 3.27 million pregnancies in Ethiopia every year, of which
approximately 500,000 end in either spontaneous or induced abortion. In 2005, Ethiopia expanded
its abortion law, which had previously allowed the procedure only to save the life of a woman or
protect her physical health.
Currently abortion is liberalized in Ethiopia under certain preconditions that include cases of rape,
incest or fetal impairment, if the pregnancy endangers her or her child’s life, or if continuing the
pregnancy or giving birth endangers her life. A woman may also terminate a pregnancy if she is
unable to bring up the child, owing to her status as a minor or to a physical or mental infirmity.
Despite the implementation of the new law, almost six in ten abortions in Ethiopia are unsafe [5].
1.2 STATEMENT OF THE PROBLEM
Worldwide approximately 20 million unsafe abortions performed each year, resulting nearly
80,000 maternal deaths and hundreds of disabilities. In Africa the risks of dying after unsafe
abortion is one in hundred fifty. Several studies indicated that unsafe abortion accounts for up to
25-35% of maternal deaths in Ethiopia being a critical public health problem with possible
complication like hemorrhage, sepsis, incomplete abortion and damage to internal organs [10, 6].
The mortality and morbidity risks of induced abortion depend on the facilities and the skill of the
abortion provider methods used and certain characteristics of the women herself such as general
presence of reproductive tract infections, STI, age parity and stage of the pregnancy. Unsafe
abortion and its consequences impose heavy economic and health burdens on women and society
(11, 12).
Unsafe abortion accounts for around 70,000 deaths worldwide (13 percent of all pregnancy-related
deaths) and an estimated 5 million women are hospitalized for the treatment of serious
complications related to abortion, such as sepsis or hemorrhage, with many suffering long-term

11. 3 | P a g e
ill-health as a consequence. The vast majorities (95-97 percent) of these deaths occurs in the
world’s poorest countries, and are at their highest in Africa. Almost half of all unsafe abortion
deaths occur amongst adolescents, girls under the age of 19 [13].
In Africa, Over 40% of the total deaths due to unsafe abortion have occurred making it the leading
cause of maternal mortality in the region. Unsafe abortion was recognized as a major public health
problem at the International Conference held on Population and Development (2015) G.C and
participants called for prompt, high quality and sympathetic medical services to treat the
complications of unsafe abortion. Additionally, they have called for compassionate post-abortion
counseling and family planning services to promote reproductive health and prevent repeated
abortions [14].
Problems related to abortion were neglected and access to quality post-abortion care was very
limited. Complications resulting from unsafe abortion are major public health problem in the
country which affects all women in reproductive age. Significant proportion (45%) of women
seeking care for abortion related complications are adolescent girls. Majority of health facilities
were not providing post-abortion care services and where available services were delivered in un-
integrated setup and ill-equipped facilities. Until the year 2014 G.C the law on abortion related
issues was one of the very restrictive in the world denying women accessing safe abortion services
[15, 8].
Post-abortion care [PAC] is treatment and counseling for post-abortion women. It includes curative
care, such as treating abortion complications, as well as preventative care, such as providing birth
control to prevent future unwanted pregnancies. Post-abortion care reduces morbidity and
mortality associated with abortion. [16, 17]
Prevalence of PNC approximately 75 million women required post-abortion care annually
following induced and spontaneous abortion (miscarriage) [18]. All countries have committed to
reducing pregnancy-related mortality by providing treatment for abortion complications,
regardless if the abortion was illegally obtained [17]. Previously only 13.0% of public health
facilities in the Gambella General Hospital were provided the services. From facilities which were
providing the services, only a quarter were able to provide uterine evacuation using MVA and they

12. 4 | P a g e
were heavily dependent on shape curettage. Provision of post abortion contraception was practiced
only by below a quarter of health facilities [19].
1.3. Significant of the study
Abortion is one of the commonest causes of maternal death particularly in developing countries
like ours. So, our study will show the specific types of abortion and related complications in the
study area and also it will also initiates other interested people to do further research on the same
topic. The study will also help stakeholders to create awareness to the community on how big the
problem and it impact to the life of the individual.

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CHAPTER TWO
2.1 Literature review
The World Health Organization (WHO) estimates that worldwide 210 million women become
pregnant each year and that about two-thirds of them, or approximately 130 million, deliver live
infants. The remaining one-third of pregnancies ends in miscarriage (spontaneous abortion),
stillbirth, or induced abortion. Abortion can be classified as Safe or Unsafe. Again, World Health
Organization defines an unsafe abortion as a procedure for terminating an unintended pregnancy
either by persons lacking the necessary skills or in an environment lacking the minimal medical
standards or both. When abortion is performed by qualified people using correct techniques in
sanitary conditions, it is very safe. Of the estimated 42 million induced abortions each year, nearly
20 million are performed in unsafe conditions and/or by unskilled providers and result in the deaths
of an estimated 47,000 girls and women. This represents about 13 percent of all pregnancy-related
deaths. Almost all unsafe abortions take place in developing countries, and this is where 98 percent
of abortion-related deaths occur [2].
2.1.1. Socio-demographic factors
In Asia, 70 percent of unsafe abortions are among women 25 and older; many of them already
have children and want to limit family size. In Latin America and the Caribbean, more than half
of unsafe abortions occur among women who are in their 20s, suggesting that women in this region
use unsafe abortion to space births and limit family size. Nearly 60 percent of women in sub-
Saharan Africa who have unsafe abortions are younger than 25, and 25 percent are still in their
teens [13, 21]. It is estimated that in several Africa countries, up to 70 percent of all women who
receive treatment for complications of abortion are less than 20 years of age [25, 26]. More than
half (57%) lived in an urban or peri-urban area. A substantial proportion (42%) reported having
no formal education [20].

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2.1.2 Types of abortions and their complication
Research done in Thailand shows that bleeding (48.7%) and pain (36.9%) were the commonest
symptoms in all methods reported by women had an unsafe abortion and complications commonly
occurred are retained conceptive products (74.7%) , pelvic infections (40%), need to blood
transfusion (10.4%), acute renal failure (3.5%), hypovolemic shock (5.8%), septic shock (4.7%),
DIC (1.1%) and death (1.1%) [19]
Deaths and disabilities related to unsafe abortion are difficult to measure due to hiding the report
of illegal procedures. In general, approximately 47,000 pregnancy related deaths are due to
complications of unsafe abortion (62% of this occurred in Africa). 5 million women are estimated
to suffer disability as a result of complication due to unsafe abortion. Unsafe abortion procedures
may involve insertion of an object or substance (root, twig or catheter or traditional concoction) in
to the uterus, dilatation and curettage performed incorrectly by unskilled provider; ingestion of
harmful substances; application of external force and incorrect dosage and mixture of medications
for inducing abortion. Complications of unsafe abortion include hemorrhage, sepsis, peritonitis
and trauma to the cervix, vagina, uterus and abdominal organs. About 20- 30% of unsafe abortions
cause reproductive tract infections and 20-40% of these result in infection of upper genital tract.
One in four women who undergo unsafe abortion is likely to develop temporary or lifelong
disability requiring medical care [18, 22].
Research done in Southern Ethiopia shows that 25% of abortions are induced abortion. From the
total induced abortions 73.5% occurred in urban and 26.5% in rural area and the majority of women
is in the age group of 20-24 [17].
Spontaneous abortion or Miscarriage is the most common reason for gynecological admission in
the Gambella General Hospital. The most sensitive studies suggest that with the fertile couples
pregnancy occurs in at least 60% of natural cycles. The studies also suggest that as many as 50%
of pregnancies miscarriage before implantation in womb occurred. Early after implantation (before
a pregnancy is clinically recognized) pregnancy loss rate is around 30%. And even after the
pregnancy is clinically recognized as many as one quarter of pregnancies miscarry, usually during
the first 14 weeks. Miscarriage risk rises as maternal age increases. For women under 35 years the
clinical miscarriage rate is 6.4%, at 35-40 years it is 14.7%, and over 40 it is 23.1% [13, 24].

15. 7 | P a g e
About a fifth (26 per 1000) of all pregnancies ended in induced abortion worldwide [15]. Reasons
for seeking abortion are varied. Socio economic concerns (including poverty, no support from the
partners and disruption of education or employment); family building preferences (including the
need to post pone child bearing or achieve a health spacing between births); relationship problem
with the husband or partner; risk to maternal or fetal health; and pregnancy resulting from rape or
incest [16].
2.1.3 Outcomes of abortion related complications
Worldwide, some 5 million women are hospitalized each year for treatment of post abortion-
related complications, and abortion related deaths leave 220,000 children motherless [22].
The speed with which women receive treatment after arriving at a health facility is affected by
stuff attitudes. Currently women seeking care for abortion complications are often the last to
receive treatment only after all other patients have been treated [23].

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CHAPTER THREE: OBJECTIVES
3.1 General objective
The general objective of this study is to assess early abortion types and its related complication
with their outcomes among women who were admitted for abortion and post abortion care in
Gambella General Hospital from November 2022 to April 2023.
3.2 Specific objectives
The specific objectives of this study is to:
1. Identify the specific types of abortion among the admitted women in Gambella General
hospital
2. Assess abortion related complications among the admitted women in Gambella General
hospital
3. Review women’s outcome after abortion among the admitted women in Gambella General
hospital

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CHAPTER FOUR: METHODOLOGY
4.1 Study Area and Periods
The study will be conducted in the Gambella region Gambella General Hospital and carried out
from November 2022 to April 2023 which is situated 766km South Western part of the capital city
Addis Ababa. The climate it is found at an attitude of 10 degree 19, 60.00’’N and longitude of 34
degree 39.59,99’’E and an elevation of 1975 meter above sea level. Have an annual average rain
fall ranges of 1600ml. The majority ethnics group in this zone is Nuer and Anuak people. In
Gambella Town there is one General hospital, one Primary Hospital two health centers, and 75
private clinics. Gambella General Hospital was established in 1992 with total of 91 staffs and
currently in hospital has a total of 236 staffs nurses, 30 midwives, 29 health officers, 11
pharmacists, 11 practices, 8 radiography, 2 laboratory technologist .It gives service to the
inhabitants of the region with the addition to Gambella Town Primary Hospital . The hospital
provides health service Under OPD and emergency, ANC, Pediatrics, MCH, delivery, gynecology
and NICU as well as IPD and family planning services. Now the hospital has four wards namely
medical, surgical, OB/GYNE and pediatrics wards. According to 2015 census Gambella town
health statics reports the estimated total population is 42,983 of whom 21,234[44.4%] are men and
21,749[50%] are women. The total number of women in Reproductive Age Group [15-49 years]
are 14,248 which among 33.1% of the total population (4).
4.2 Study design and Period
Cross sectional study design will be used to assess the types of abortion and its complication and
its outcomes among the women who come for abortion and post abortion care in Gambella General
Hospital from November 2022 to April 2023
4.3 Population
4.3.1 Source population
The source population of this study will be women who attended Gambella General Hospital
for abortion and post abortion service from November 2022 to April 2023

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4.3.2 Study population
The study population will be the women/individual who came to utilize abortion and Post
Abortion Services in Gambella General Hospital from November 2022 to April 2023
4.4 Inclusion and Exclusion criteria
4.4.1 Inclusion criteria
- The women who utilized abortion and post abortion service in Study area will be
included in the study
4.4.2 Exclusion criteria
- Those women whose medical chart is lost.
- Those women who were registered in the abortion register with incomplete data will
be excluded from the study.
4.5 Sample size determination
The sample size will be determined by using single population proportion formula with the
following assumption; 17.4% of prevalence of previous studies conducted in Gondar town 2015,
95% confidence interval, 5% margin of error, 10% for non-response rate due to this. Therefore,
the sample size of this study will be expressed as follow:
n=Za/22
p (1-p)/d2
n=1.962
*0.174(1-0.174)/0.052
n=221
Since our source population is 1548, which is less than 10000; correction factor formula will be
used.
n= n/ (1+n/N) = 221/(1+221/1548)
By adding non-response rate, 10% our sample size is 243.
Where, n= the required sample size
N= source population

19. 11 | P a g e
n= new sample size
Z= standard score corresponding to 95% confidence interval
P= population proportion=17.4%
D= margin of error (precision) 5%
4.6 Sampling Procedure and technique
After calculating the sample size the study participates will be selected by used convenience
(accidental) sampling technique which involves women who come to attended Gambella general
hospital for abortion and post abortion service during data collection period. Since we have N=
1548, n=243 then we got K= Estimated total population in study period/ Determined sample size.
K= 1548/243=6.37 = 6
Then the sample will be selected to get the require sample in the following sequence 1, 7, 14, 21
or after started from the first client randomly until the required sample size is attained.
4.7 Study variables
4.7.1 Dependent variables
 Types of abortion and
 Complication with its outcome.
4.7.2 Independent variables
- Age of mother - Occupation - Ethnicity
- Age of child - Marital status - Mother Education level
- Father education level - Income - Number of children
- Decision making ability - Religion
- Obstetrics factors like gravidity and parity.

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4.8 Data collection
4.8.1 Data collector
- The required data will be collected by the principal investigators with help of Health
Practitioner within the Hospital.
4.8.2 Data collection tool
A data collection will be in the form of structured questionnaire with both closed ended in
English and Amharic Language .The tools will inquired the intended data like socio demographic
of the participants, types of abortion, related complication and outcome and others characteristics
4.8.3 Data collection method
Data will be collected by document review for secondary data and written questionnaire for
primary data. Data collectors will be trained for data collection process and the very objective of
the questionnaire. The data will be collected from medical records by using a check list prepared
to retrieve required data this is will be true for secondary data.
4.9 Data quality control
A group discussion will be done among the data collectors in order to have a common
understanding on the tool. Meanwhile, the quality of the data will be assured by checking for
consistency and completeness by the Principal Investigators. Pre- test of 5% of the total eligible
sample will be conducted in the Gambella Primary Hospital before the actual data collection
period.
4.10 Data processing and analysis plan
The collected data will be processed and analyzed by using tally sheet, manual scientific
calculator, paper, pencil and pen. The analyzed data will be presented using frequency distribution
tables, pie charts and figures for data visualization.

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4.11 Dissemination and utilization of results
The result of the study will be submitted to Nile College Health science, department of Midwifery
for documentation in the department. The result will be presented in form of a written report
documents to the Chief Executive Director CEO in the Gambella General Hospital
4.12 Ethical consideration
The permission letter will be obtained from Nile College Research Committee and will be
submitted to Gambella General Hospital. The study participants will be informed verbally about
the purpose of the study along with their right to refuse and their data will be keep confidentially
solely for research purpose.
4.13 Operational definitions
o Abortion is termination of pregnancy before maturity.
o Spontaneous abortion is the passing of a pregnancy without intervention.
o Threatened abortion is bleeding of intrauterine origin without expulsion of the products of
conception and there is chance of continuation of pregnancy.
o Complete abortion is the expulsion of all of the products of conception.
o Incomplete abortion is the expulsion of some, but not all, of the products of conception.
o Inevitable abortion refers to bleeding of intrauterine origin without expulsion of the
products of conception but, there is no chance of continuation of pregnancy.
o Missed abortion, the embryo or fetus dies, but the products of conception are retained the
uterus.
o Septic abortion, infection of the uterus and sometimes surrounding structures occur.

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Chapter 5: Work Plan and Budget
Figure 1 Work plan description
Activities
Year Dec 2022 to April 2023 G.C
Responsible body Nov Dec Jan Feb Mar April
Title selection PI
Proposal writing and
approval
Data Collection Data Collectors
Entry and Analysis PI
Interpretation of Result PI
Research Paper Writing PI
Submission PI
Presentation PI

23. 15 | P a g e
Table 1 Cost of stationary
Table 2 Summary of the total budget
No Items/Activities Cost (ETB) Remarks
1 Work Force Cost 1000 00
2 Miscellaneous expense 500 00
5 Stationery costs 1,390 00
6 Transportation cost and Per diem 500 00
7 Subtotal 3390 00
8 Contingency (10%) 339 00
Total cost 3,729 00
No Items Unit Quantity Unit cost Total cost
Birr Cents Birr Cents
1 Paper Pack 2 200 00 400 00
2 Pen Doze 01 300 00 300 00
3 pencil Pcs 01 20 00 20 00
4 Ruler Pcs 1 20 00 20 00
5 Photo copy Pcs 50 3 00 150 00
6 Printing Pcs 100 5 00 500 00
Sum total 1,390 00

24. 16 | P a g e
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Abortion Care At Health Facility In Dessie- North East Ethiopia: Science, Technology And
Arts Research Journal; 1(1), 44, Jan-March 2012.
26. (Umar N. Jibril, Olubiyi S. Kayode, Nwadiliorah J. Blessing. Spontanous abortion among
women admitted into gynaecology wards of three selected hospitals in Maiduguri, Nigeria:
International journal of nursing and Midwifery;6(2), 26, April, 2014)

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ANNEX 1: QUESTIONNAIRE
Section I: Socio- demographic questions
1. Age
2. Sex
Section II: Selected obstetrics characteristics questions
3. Gravidity_______________
4. Gestational age___________________
Section III: Assessment of Abortion
5. Is the mother had previous abortion? (A) Yes b. No
6. If yes, how many times? 1_______2________3_________>3_________
7. Which type of abortion? A Spontaneous B. induced
8. If spontaneous, which type of abortion did she have?
A Complete b. Incomplete c. Inevitable d. Threatened e. Missed f. Septic g. Other
9. If induced, what was the indication? (A) Rape Incent (B) SMMC (C) Incompatible to life
10. Which type of abortion she had currently? A spontaneous (B). induced
11. If spontaneous, which type? A. Complete B. Incomplete c. Inevitable d. Threatened
(E)Missed f. Septic g. Other
12. If induced, what was the indication? (A) Rape (B). Incent (C). Incompatible to life
(D)serious maternal medical problem
13. What intervention was undertaken? (A) Medical___(B)Surgical______(C)
Both___(D)None___________
14. If surgical, what kind? (A). MVA (B). D/C (C). E/C (D). Hysterectomy
15. If medical, what kind? A Mifeprostol B Misoprostol C Both
16. Who did the intervention? (A). Senior (B).Emergency Surgeon (C)Trained Midwife
(D)Other (specify):_______________________________

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Section IV: Complication and outcome
17. Is the mother had any complication? (A) Yes (B). No
18. If yes, what was it? (more than one is possible) Bleeding b. Infection c. Perforation d.
Anemia e. Shock f. Other(specify):______________________________
19. If she has, where did she go for treatment? (A) At home (B). Health Institution
(C)Others ( specify)___________________
20. What was the outcome of the mother? (A) Death (B). Improved (C)Disabled
(D)specify):____________________________
Section V: Post abortion care
21. Was the woman counseled about post abortion FP utilization? (A) Yes (B). no
22. Did the mother gain post abortion family planning? (A) Yes (B) No
23. If Yes, What type was it? (A) IUD (B). Condom (C). Implanon (D). Injectables
(E)Pills (F). Jadelle (G) Others (specify):_________________________________