Spontaneous Abortion: An Assessment of the Knowledge of Health Professionals on their Role in its Prevention
Abortion has a
long history and can be traced back to civilizations; and according to
Wikipedia, it is defined as the termination of pregnancy by the expulsion from
the uterus of a fetus or embryo prior to viability. An abortion can be
spontaneous, or induced. Spontaneous abortion, also known as miscarriage, is
the unintentional expulsion of an embryo or fetus before the 20th to 22nd week
of gestation. The most common cause of spontaneous abortion during the first
trimester is chromosomal abnormalities of the embryo/fetus, accounting for at
least 50% of sampled early pregnancy losses. Statistics collected from the
Regional Hospital Bamenda (Cameroon) shows that in 2010, out of 360 cases of
spontaneous abortion recorded 257 (71%) were threatened abortion out of which
103 (40%) ended in miscarriages, i.e. in the expulsion of the embryo or fetus.
Similarly in 2011, out of 753 cases of spontaneous abortion registered, 545
(72%) were threatened abortion and out of which 208 (38%) ended in
“Do health care
providers know their role in the prevention of spontaneous abortion?” The
answer to this question will find its source in the attainment of the main
objective which is to assess the knowledge of Health Care Providers on their
role in the prevention of SA.
It is based on
the Virginia Henderson conceptual model that we frame a directive pattern to
this important project.
Man as an
individual, is defined by Virginia Henderson as “a bio‐psychosocial being, a unified whole, and presenting
with 14 fundamental needs. 2 of the needs will direct and make the cue of this
study as follows:
to communicate with others
to learn and understand
The use of
structured questionnaires helped to collect information from the respondents in
order to reflect the specific objectives of the study. In assessing the
knowledge of HCPs, only 16 responses were gotten, instead of 39 responses
expected from them. This may show a lack of knowledge, even for those who said
knew about. For the prevention of SA, it is observed that psychological care at
the prenatal period may be out of practice. Only 2(8%) respondents talked of
alleviating anxiety, forgetting that this should be coupled with education and
adequate medication administration. To conclude, it is worth noting that HCPs
are poorly knowledgeable on their role in the prevention of SA, thus contribute
to less significantly in the decrease of its prevalence.
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