Fatal abortion in sub-Saharan Africa: ‘She dilated my cervix with a cassava root and the fetus fell out’

A study by Doctors Without Borders and others warns of the proliferation of complications suffered by women following a terminated pregnancy in conflict-affected regions

MONICAH MWANGI, BEATRIZ LECUMBERRI, (REUTERS)
SEP 11, 2023

“I arrived at a hospital in Bangui and a 25-year-old woman had just died in my colleagues’ arms from complications following an abortion,” says Estelle Pasquier, a researcher with Doctors Without Borders (MSF). “This can happen several times a month, but it is a preventable death with the right measures. The doctors there have their hands tied by legal and social impediments, but the vast majority consider that the healthcare in these circumstances is a right for all women because they see the damage wreaked on a daily basis when that right is ignored.” What Pasquier is describing prompted a pioneering study, of which she is co-author, on the complications suffered by women after abortion in particularly volatile regions of sub-Saharan Africa, a corner of the world where 70% of deaths related in some way to maternity occur.

Continued: https://english.elpais.com/international/2023-09-11/fatal-abortion-in-sub-saharan-africa-she-dilated-my-cervix-with-a-cassava-root-and-the-fetus-fell-out.html


Bwaila District Hospital overwhelmed with post-abortion cases

Sep 07, 2023 
Malawi News Agency

District Nursing Midwifery officer at Bwaila hospital, Bertha Mwale Kaudza, says the hospital is overwhelmed with abortion cases as it gets about 268 post-abortion cases per month referred to the facility, most of which are complications emanating from unsafe abortions.

The Officer said this during a study tour that Family Planning Association of Malawi, FPAM in conjunction with European Parliamentary Forum on Sexual and Reproductive Rights (EPF) organized for Members of Parliament (MPs) from European Countries to appreciate how sexual and reproductive health issues are facilitated in the country.

Continued: https://malawi24.com/2023/09/07/bwaila-district-hospital-overwhelmed-with-post-bortion-cases/


Abortion: Women more at risk of death in fragile and conflict-affected settings

5 September 2023
Médecins Sans Frontières

Complications following unsafe abortions are up to seven times more severe in fragile or conflict-affected settings: these are the findings of one of the very first studies on the subject, carried out in two referral hospitals in Bangui in the Central African Republic and Jigawa State in northern Nigeria. Behind the statistics, real stories of real women – and a universal vulnerability.

“I was distraught. I had drunk the traditional medicine. Before that, someone had shown me how to insert a piece of iron into my vagina... It was a piece of iron like this [she shows the interviewer the size],” says Rasha*, a 32-year-old woman admitted to Bangui referral hospital with potentially life-threatening abortion-related complications.

Continued: https://www.msf.org/abortion-women-more-risk-death-fragile-and-conflict-affected-settings


Austin women’s clinic fights for its patients — and its future — in post-Roe world

Bridget Grumet, Austin American-Statesman
Aug 30, 2023

Alison Auwerda was no longer pregnant. The medication abortion pills she ordered online, in spite of Texas’ ban on such things, had worked.

But an ultrasound confirmed what the cramping suggested: Her body had not expelled the last remnants of tissue from the terminated pregnancy.

“I'm like, Can I go to the hospital? Can I tell my doctor? My first thought was like, ‘Oh, I have to get a flight and go somewhere else,’” Auwerda, 39, told me.

Continued: https://www.statesman.com/story/news/columns/2023/08/30/austin-womens-health-center-at-risk-closing-texas-abortion-ban-medical-care/70587287007/


Unsafe Abortions Derail Malawi’s Progress on Maternal Health

With unsafe abortions contributing to 18% of maternal deaths, Malawi finds itself facing a dilemma in achieving the Sustainable Development Goal of reducing maternal mortality to less than 70 per 100,000 live births by 2030.

Jun 23, 2023 
Brian Ligomeka 

Sitting on the veranda of her house in Bangwe Township, located in the southern Malawian city of Blantyre, 56-year-old Manesi Kamolo sheds tears as she recounts in an interview how her 17-year-old daughter died.

According to Kamolo, her daughter became pregnant after being raped while returning from school. “My daughter revealed to me that she was pregnant as a result of the rape,” she explains. “The discovery of the pregnancy haunted her. She told me she never wanted to keep the pregnancy as she wanted to continue with her education.”

Continued: https://malawi24.com/2023/06/23/unsafe-abortions-derail-malawis-progress-on-maternal-health/


Nigeria – Plateau health agency trains 100 on post abortion care

January 20, 2023
 by Blessing Odega

The Plateau State Contributory Healthcare Management Agency (PLASCHEMA) on Friday trained 100 heads of Primary Healthcare Centres (PHCs) on post abortion care to reduce maternal mortality.

The Director-General, PLASCHEMA, Dr Fabong Yildam, said that the rate of maternal mortality due to unsafe abortions was on the rise in the country, particularly in Plateau.

Continued: https://newsdiaryonline.com/plateau-health-agency-trains-100-on-post-abortion-care/


Forced mass abortions are a new and disturbing phenomenon in Nigeria

Published: December 14, 2022
Akanni Ibukun Akinyemi

Nigeria classifies abortion as illegal except under certain medical circumstances. A recent investigation by Reuters news agency has alleged that, since 2013, the Nigerian military has run a secret mass abortion programme in the north-east of the country, where it is at war with the militant Islamic organisation Boko Haram. Ten thousand women were allegedly affected – the report claims the women had been raped and impregnated by Boko Haram insurgents. The military has denied the allegations. Reproductive health specialist Akanni Akinyemi sheds further light on abortions in Nigeria.

How common is forced abortion in Nigeria?
There is some evidence that the decision to terminate a pregnancy may be imposed on a woman by either her male partner or some significant others, such as parents and care givers. However, the systemic large scale forced abortions in the north-eastern part of Nigeria as reported in the media are a new development. I don’t think we have recorded anything like this before.

Continued: https://theconversation.com/forced-mass-abortions-are-a-new-and-disturbing-phenomenon-in-nigeria-196494


Maternal Mortality: Nigerian experts applaud as IPPF launches free online medical abortion course

October 14, 2022
By Sola Ogundipe

Top Nigerian medical experts have applauded the launch of a free online medical abortion training course by the International Planned Parenthood Federation (IPPF), aimed at stemming the tide of unsafe abortion and its complications globally.

Welcoming the development, the experts said the course which is specifically designed to equip healthcare workers with the necessary skills to provide care for women seeking medical abortion up to 13 weeks gestation,  would go a long way in correcting the misinterpretation and misconception about safe abortion, legal abortion, medical abortion, and allied issues.

Continued: https://www.vanguardngr.com/2022/10/maternal-mortality-nigerian-experts-applaud-as-ippf-launches-free-online-medical-abortion-course/


Kenya – Post-abortion care is just as important as procedure itself- OBGYN

By Gardy Chacha
April 21st 2022

Prof MOSES OBIMBO explains the danger behind unsafe abortions and why
many women opt to take this route.

Why did you go into Obstetrics and Gynaecology?

Women have a great impact on the health and well-being of humanity. It is women
who carry pregnancies. Every human being alive today is here through a woman.
My interest has always been to make a woman’s health a priority because she not
only has a direct impact on us now but also has an effect on the progeny of the
next generation.

Continued: https://www.standardmedia.co.ke/thenairobian/health/2001443702/a-z-of-abortion-through-the-eyes-of-a-doctor


A Guide to Caring for Yourself (Or Others) After an Abortion

Conversations about the aftermath of an abortion can center on harmful and false narratives. We're here to change that.

Feb 2, 2022
Caroline Reilly, Rewire News

Abortion is life-affirming health care that should be accessible for all, on demand and without restrictions. Part of supporting access to abortion care is making sure patients who seek them are fully informed about what having an abortion entails, including the aftercare.

I recently put out a call on Twitter to learn more about the experiences people had after their abortion. I heard from dozens of folks who said there were parts of the experience they felt unprepared for or surprised by—the pain, the bleeding, and all the other aspects associated with many medical procedures.

Continued: https://rewirenewsgroup.com/article/2022/02/02/a-guide-to-caring-for-yourself-or-others-after-an-abortion/