COMPLICATIONS, INCIDENCES AND CAUSES OF UNSAFE ABORTION AMONG WOMEN OF REPRODUCTIVE AGE AT KISUMU COUNTY HOSPITAL GYNAECOLOGY WARD

Abstract

Abortion is a controversial phenomenon which contributes to a major public health problem. Unsafe abortion is a problem, putting many women at severe risk of serious health disability or even death. In Kenya, over 300,000 spontaneous and induced abortions occur annually; out of which 35% are unsafe. The study aimed at determining the complications of unsafe abortion among women who visited Kisumu County Hospital. The study adopted a descriptive cross-sectional study design. Study population consisted of women of reproductive age having positive history of abortion and aged 15 to 45 years in KCH gynecology ward. The study involved simple random sampling technique. The sample size was determined using Solvin’s formula. Questionnaires consisting of closed and open ended questions were used. Data collected was edited, coded, categorized and tabulated as appropriate. Data analysis was done using statistical package for social science (SPSS) version 29.0. Exploratory and qualitative data analysis methods were used and results presented in tables and charts. The study revealed a high prevalence of unsafe abortion among women of reproductive age at Kisumu County Hospital, indicating a significant public health concern. Key complications identified included severe bleeding, infections, and damage to reproductive organs, which contribute to morbidity and can have long-term health implications for women. Major causes included socio-economic factors, lack of education regarding safe abortion practices, cultural beliefs, and legal restrictions, leading many women to resort to unsafe methods. In conclusion, the findings highlighted the urgent need for targeted interventions to improve access to safe abortion services, enhance reproductive health education, and address socio-economic barriers to reduce the incidence and complications of unsafe abortions in Kisumu County.