{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,15]],"date-time":"2026-11-15T03:10:53Z","timestamp":1794712253978,"version":"4.9.1"},"reference-count":28,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2004,12,8]],"date-time":"2004-12-08T00:00:00Z","timestamp":1102464000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2005,9]]},"abstract":"<jats:p><jats:bold>Objective\u2003<\/jats:bold> To estimate and describe the magnitude of abortion complications presenting at public hospitals in Kenya.<\/jats:p><jats:p><jats:bold>Design\u2003<\/jats:bold> Cross\u2010sectional descriptive study.<\/jats:p><jats:p><jats:bold>Setting\u2003<\/jats:bold> Hospital\u2010based.<\/jats:p><jats:p><jats:bold>Population\u2003<\/jats:bold> Records of all women presenting prior to 22 weeks of gestation with abortion\u2010related complications at selected hospitals during a three\u2010week study period. All public tertiary and provincial hospitals were included; stratified random sampling was employed to select a subset of 54 district hospitals nationwide.<\/jats:p><jats:p><jats:bold>Methods\u2003<\/jats:bold> Data collectors identified 809 patients with abortion complications on all hospital wards and completed a standardised questionnaire for each by extracting information from the patient's hospital record.<\/jats:p><jats:p><jats:bold>Main outcome measures\u2003<\/jats:bold> Incidence, aetiology, morbidity and mortality of abortion complications.<\/jats:p><jats:p><jats:bold>Results\u2003<\/jats:bold> Most women (80%) presented with incomplete abortion. Approximately 34% of the women had reached the second trimester of pregnancy. Adolescents (14\u201319 years old) accounted for approximately 16% of the study sample. Manual vacuum aspiration was used to manage 80% of first trimester cases. The projected annual number of women with abortion complications admitted to public hospitals in Kenya is 20,893. The case fatality rate was estimated to be 0.87% (95% CI 0.71\u20131.02%), so an estimated 182 (95% CI 148\u2013213) of these women die annually. The annual incidence of incomplete abortion and other abortion\u2010related complications per 1000 women aged 15 to 49 years is projected to be 3.03.<\/jats:p><jats:p><jats:bold>Conclusions\u2003<\/jats:bold> The high rate of abortion\u2010related morbidity and mortality documented in the study highlights the critical need to address the issue of unsafe abortion in Kenya.<\/jats:p>","DOI":"10.1111\/j.1471-0528.2004.00503.x","type":"journal-article","created":{"date-parts":[[2005,8,4]],"date-time":"2005-08-04T03:06:01Z","timestamp":1123124761000},"page":"1229-1235","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":51,"title":["The magnitude of abortion complications in Kenya"],"prefix":"10.1111","volume":"112","author":[{"given":"Hailemichael","family":"Gebreselassie","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria F.","family":"Gallo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Monyo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brooke R.","family":"Johnson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2005,3]]},"reference":[{"key":"e_1_2_7_2_2","volume-title":"Unsafe Abortion: Global and Regional Estimates of Incidence of and Mortality Due to Unsafe Abortion with a Listing of Available Country Data","author":"World Health Organization","year":"1998"},{"key":"e_1_2_7_3_2","volume-title":"Safe Abortion: Technical and Policy Guidance for Health Systems","author":"World Health Organization","year":"2003"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.2307\/2133331"},{"issue":"2","key":"e_1_2_7_5_2","first-page":"138","article-title":"Review of abortion at Kenyatta National Hospital","volume":"57","author":"Aggarwal VP","year":"1980","journal-title":"East Afr Med J"},{"issue":"54","key":"e_1_2_7_6_2","first-page":"54","article-title":"Epidemiology of induced abortion in Nairobi, Kenya","volume":"1","author":"Aggarwal VP","year":"1982","journal-title":"J Obstet Gynaecol East Cent Afr"},{"issue":"3","key":"e_1_2_7_7_2","first-page":"164","article-title":"Induced abortion in Kenya: its determinants and associated factors","volume":"73","author":"Lema VM","year":"1996","journal-title":"East Afr Med J"},{"key":"e_1_2_7_8_2","unstructured":"Laws of Kenya.The Penal Code Chapter 63 Section 158\u2013160. 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