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Table 4 Main reported types of abortion complications and underlying conditions, their near-miss risk and CFR

From: High severity of abortion complications in fragile and conflict-affected settings: a cross-sectional study in two referral hospitals in sub-Saharan Africa (AMoCo study)

(Not mutually exclusive)

Nigerian hospital

CAR hospital

Frequencies

Near-miss riskf

CFRg

(1 death)

Frequencies

Near-miss riskf

CFRg

(2 deaths)

n/N (%)

(95%CI)

% (95%CI)

% (95%CI)

n/N (%)

(95%CI)

% (95%CI)

% (95%CI)

Severe bleeding/hemorrhagea

374/520 (71.9)

(67.8–75.8)

26.7 (22.3–31.5)

–

317/548 (57.8)

(53.6–62.0)

10.1 (7.0–14.0)

0.6 (0.1–2.3)

Infectionb

97/520 (18.7)

(15.4–22.3)

44.3 (34.2–54.8)

1.0 (0.0–5.6)

148/548 (27.0)

(23.3–30.9)

14.2 (9.0–20.9)

1.3 (0.2–4.8)

Trauma/Perforationc

0/520 (0.0)

–

–

–

9/548 (1.6)

(0.8–3.1)

66.7 (29.9–92.5)

–

Anemiae (Hb < 11 g/dL)

424/517 (82.0)h

(78.4–85.2)

23.6 (19.6–27.9)

0.2 (0.0–1.3)

219/513 (42.7) i

(38.4–47.1)

14.2 (9.8–19.5)

0.9 (0.1–3.3)

 Anemia in women who had severe bleeding/hemorrhaged

328/373 (87.9) h

(84.2–91.1)

29.9 (25.0–35.2)

–

140/303 (46.2) i

(40.5–52.0)

22.1 (15.6–30.0)

1.4 (0.2–5.1)

 Anemia in women who had no severe bleeding/hemorrhaged

96/144 (66.7) h

(58.3–74.3)

2.1 (0.3–7.3)

1.0 (0.0–5.7)

79/210 (37.6) i

(31.0–44.5)

7.6 (2.8–15.8)

–

Severe anemiae (Hb ≤ 7 g/dL)

136/517 (26.3) h

(22.6–30.3)

52.2 (43.4–60.8)

–

33/513 (6.4) i

(4.5–8.9)

66.7 (48.2–82.0)

6.0 (0.7–20.2)

 Severe anemia in women who had severe bleeding/hemorrhaged

134/373 (35.9) h

(31.1–41.1)

52.2 (43.4–60.9)

–

33/303 (10.9) i

(7.6–15.0)

66.7 (48.2–82.0)

6.0 (0.7–20.2)

 Severe anemia in women who had no severe bleeding/hemorrhaged

2/144 (1.4) h

(0.2–4.9)

50.0 (1.26–98.7)

–

0/210 (0) i

–

–

–

  1. aSevere bleeding/hemorrhage includes severe vaginal bleeding (heavy bright red vaginal bleeding AND/OR pads/towels/clothing blood-soaked within 5 min AND/OR pallor with bleeding) and severe hemorrhage (blood loss > 1 L OR blood loss with  systolic blood pressure < 100 mmHg or requiring 1 unit of blood transfusion or with  hemoglobin < 4 g/dL)
  2. bInfection includes uterine infections (fever/chills AND/OR foul-smelling vaginal discharge), generalized peritonitis (temperature > 38.5 °C AND abdominal guarding, rebound +/− ileus) and severe systemic infections (temperature > 38 °C AND suspected or confirmed infection AND at least one of the following: 1) new/worsened altered mentation. 2) respiratory rate ≥ 22/Min. 3) rystolic blood pressure ≤100 mmHg)
  3. cTrauma/perforation includes evidence of cervix/vaginal mechanical injury at clinical examination, uterine perforation or other intra-abdominal perforation confirmed at laparotomy
  4. dSevere bleeding/hemorrhage reported before presentation to the hospital and/or diagnosed during admission until discharge
  5. eThe threshold for anemia and severe anemia is defined according to WHO recommendations [59]
  6. fThe near-miss risk is the number of near-miss cases among the total number of cases of each type of abortion complications or underlying conditions
  7. gCFR: the Case Fatality Risk is the number of deaths among the total number of cases of each type of abortion complications or underlying conditions
  8. hMissing values < 2%
  9. i 4% < missing values < 10%
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BMC Pregnancy and Childbirth

ISSN: 1471-2393

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