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Copyright of Sociologia, Problemas e Práticas is the property of Centro de Investigacao e Estudos de Sociologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

INTRODUCTION: Les avortements clandestins augmentent la morbi-mortalité maternelle en Afrique sub-Saharienne et sont favorisés par les législations restrictives et la faiblesse prévalence contraceptive. A Brazzaville l´automédication par les « médicaments de la rue » semble être un procédé abortif fréquent. L´étude visait à déterminer la proportion des « médicaments de la rue » et le profil sociodémographique des patientes impliquées. METHODES: nous avons réalisé une étude longitudinale de juillet à d écembre 2018, 67 patientes admises pour complications d´avortement provoqués ont été recrutées à l´hôpital de Talangaï. Leurs (i) caractéristiques socio démographiques, (ii) obstétricales et (iii) les caractéristiques de l´avortement (procédé, implication du manganguiste, rang et coût de l´avortement) ont été collecltées et analysées avec le logiciel Epi info 7. Nous avons comparé les moyennes avec le test de student, les proportions avec le CHI-2, p était fixé à 0,05. RESULTATS: l´âge moyen était de 25 ans ±6,6, 59,7% étaient au collège, 53,8% sans activité génératrice de revenu dans et 38,8% des cas vivaient seules dans; 15% avaient une paternité refusée. Les « médicaments de la rue » étaient retrouvés dans 74,5%, où le coût moyen de l´avortement était 3500 CFA (7$US) et 29500CFA (59$US) chez les professionnels de santé. Les enquêtées du lycée étaient plus nombreuses (73,69%) à connaitre au moins méthode contraceptive (p=0,05). Les célibataires (p=0,000) et celles qui connaissaient une méthode contraceptive (p=0,003) exprimaient plus l´intention d´adopter une contraception. CONCLUSION: lutter contre les « médicaments de la rue » ainsi que sécuriser l´avortement volontaire sont nécessaires pour limiter les avortements clandestins compliqués.

The use of drugs is not solely determined by its therapeutic properties but refers to diversions of these properties. Objective: To assess the level of knowledge of the diversion of drugs for abortifacient purposes among hairdressers and seamstresses of the suburb of Togblékopé. Material and method: We conducted a cross-sectional study among hairdressers and seamstresses living in Togblékopé, a suburb on the outskirts of the city of Lomé. Results: Of the 114 respondents, 74.6% knew that drugs were diverted for abortion, mostly among older young people, singles and apprentices. In addition, 70.6% reported having at least once attended a drug abortion by someone. Thus, drugs such as paracetamol, chloroquine and acetylsalicylic acid have been reported for abortifacient purposes' diversion, most often purchased on the street and responsible for serious side effects. Conclusion: This study has highlighted the knowledge of drugs' use for abortifacient purposes among hairdressers and seamstresses. It is necessary to carry out actions that will aim at teaching the risks of drug intoxication and reduce the risk of pregnancy through family planning. [ABSTRACT FROM AUTHOR]

Copyright of Pan African Medical Journal is the property of Pan African Medical Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: In sub-Saharan countries, resuscitators and gynecologists are faced with uncommon situations related to clandestine abortions. Their complications are one of the reasons for hospitalization in intensive care units. The objective of this study was to describe the picture and profile of these patients. Material and Methods: It's a retrospective and descriptive study which was carried out on 38 patients admitted at Panzi intensive care unit with a diagnosis of clandestine abortion. Results: The prevalence of clandestine abortions was 0,38 % of patients admit in intensive care. It was young women of average age 23.3 ±8,7years. The duration of the consultation after induced abortion was 5,8 days (extremes between 3 days and 27)± 14,6 days). The cause of admission to intensive care was a disorder of consciousness for 55,2% of cases but also haemodynamic repercussions 31,6% hypotension and 47,4% of anuric patients. Amines were used in 16,6%, a need for blood transfusion for 63,1%. Laparotomy was required for 26,3% of cases. Peritonitis was the most common complication in 55,2%. The mortality rate was 23,7%. The average hospital stay was 9,3 days. Conclusion: The septic status, the neurological and hemodynamic repercussions of patients with an illegal abortion, requires admission in the intensive care. The mortality is still high in these cases. [ABSTRACT FROM AUTHOR]

L'avortement provoqué clandestinement est responsable d'une importante mortalité maternelle. Nous rapportons un cas de péritonite par perforation utérine post-abortive. Il s'agissait d'une patiente de 25 ans reçue pour des douleurs abdomino- pelviennes, vomissements et diarrhée, dans un contexte d'aménorrhée de 12 semaines. L'examen à l'admission retrouvait un tableau de péritonite asthénique.L'exploration chirurgicale notait une péritonite aigue généralisée secondaire à une perforation du dôme utérin, avec collection purulente de 1500 cc; anses grêles dilatées et multiples fausses membranes. Le geste chirurgical: aspiration du pus, toilette péritonéale; suture utérine, drainage.les suites opératoires étaient simples, le retour à domicile de la patiente a été autorisé à J 15.

Copyright of Pan African Medical Journal is the property of Pan African Medical Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The use of drugs is not solely determined by its therapeutic properties but refers to diversions of these properties., Objective: To assess the level of knowledge of the diversion of drugs for abortifacient purposes among hairdressers and seamstresses of the suburb of Togblékopé., Material and Method: We conducted a cross-sectional study among hairdressers and seamstresses living in Togblékopé, a suburb on the outskirts of the city of Lomé., Results: Of the 114 respondents, 74.6% knew that drugs were diverted for abortion, mostly among older young people, singles and apprentices. In addition, 70.6% reported having at least once attended a drug abortion by someone. Thus, drugs such as paracetamol, chloroquine and acetylsalicylic acid have been reported for abortifacient purposes' diversion, most often purchased on the street and responsible for serious side effects., Conclusion: This study has highlighted the knowledge of drugs' use for abortifacient purposes among hairdressers and seamstresses. It is necessary to carry out actions that will aim at teaching the risks of drug intoxication and reduce the risk of pregnancy through family planning., (Le comité de rédaction se réserve le droit de renvoyer aux auteurs avant toute soumission à l'avis des lecteurs les manuscrits qui ne seraient pas conformes à ces modalités de présentation. En outre il leur conseille de conserver un exemplaire du manuscrit, des figures et des tableaux.)