Clinic-based surveillance of adverse pregnancy outcomes to identify induced abortions in Accra, Ghana
Oliveras, E.; Ahiadeke, C.; Adanu, R.M.; Hill, A.G.
Studies in Family Planning 39(2): 133-140
2008
ISSN/ISBN: 0039-3665 PMID: 18678177 DOI: 10.1111/j.1728-4465.2008.00160.xDocument Number: 201132
Reliable measures of induced abortion remain elusive, especially when the public perception is that the procedure is immoral or improper. This study draws on interviews using a modified preceding birth technique (PBT) with women attending antenatal and maternity clinics in Accra to compare rates of adverse pregnancy outcomes (stillbirths, miscarriages, and induced abortions) with rates from a household maternity history and the Ghana Demographic and Health Survey. The reports from the antenatal clinics produced some of the highest rates for adverse outcomes of pregnancy. In light of the generally high coverage of antenatal services found even in developing countries, the method based on the PBT holds promise for the improvement of reports of miscarriage and abortion worldwide.