R. Baig

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    Situation analysis of family health hospitals of
    Rahnuma-FPAP about the preparedness to provide
    effective post-termination of pregnancy care
    services
    Baig, R
    Rahnuma-Family Planning Association of Pakistan (FPAP), MA of
    IPPF London, UK
    This study is a situation analysis of 10 family health hospitals of
    FPAP regarding their preparedness to provide effective PAC
    services. There were 14 service providers in 10 hospitals in the
    study. The most common procedure used for treating women
    coming with miscarriage or incomplete termination of pregnancy
    (TOP) was manual vacuum aspiration (MVA) (71.4%), followed
    by D&C (64.3%). The most common procedures followed for
    women coming with complications of induced TOP done
    elsewhere were MVA (85.7%) and D&C (57.1%). In 71.4% cases,
    surgical procedures for incomplete TOP were performed on the
    same day. The three most common complications were infection
    (92.9%), haemorrhage (78.6%) and pelvic inflammatory disease
    (78.6%). Length of gestation up to which surgical procedures for
    incomplete TOP was performed, was up to 4 weeks (14.3%), up
    to 12 weeks (42.6%), followed by 13–20 weeks (21.4), more than
    20 weeks (14.3%). A majority of the providers used analgesia,
    anxiolytic/sedation/tranquilizers for conducting surgical
    procedures for incomplete TOP of <8 weeks (64.3%), 9–13 weeks
    (57.1%), 13–20 weeks (21.3%) and >20 weeks (14.2%). The
    aborted fetus/products of conception were incinerated (35.5%),
    burnt (14.2%), thrown in open pit or garbage (14.2%), burnt and
    covered (21.3%) and others (14.2%). Three main reasons of
    choosing the hospital were doctors/staff being well behaved
    (52.8%), good reputation/better care (40%) and less waiting time
    (16.7%). In the present study, 51.4% clients were very satisfied
    and 22.2% were satisfied, while 20.8% classified the services as
    average. Only 4.2% were dissatisfied or highly dissatisfied.