BACKGROUND: Complications of unsafe abortion are a major contributor to maternal deaths in developing countries. This study aimed to evaluate the clinical assessment for life-threatening complications and the following management in @entity1 admitted with complications from @entity5852 at a rural hospital in Uganda. METHODS: A partially completed criterion-based audit was conducted comparing actual to optimal care. The audit criteria cover initial clinical assessment of vital signs and management of common severe complications such as @entity295 and @entity548 . @entity295 shall be managed by immediate evacuation of the uterus and antibiotics in relation to and after surgical management. Shock by aggressive rehydration followed by evacuation. In total 238 @entity1 admitted between January 2007 and April 2012 were included. Complications were categorized as incomplete, threatened, inevitable, missed or @entity5852 and by trimester. Actual management was compared to the audit criteria and presented by descriptive statistics. RESULTS: Fifty six per cent of the @entity1 were in second trimester. @entity532 were distributed as follows: 53  % incomplete @entity5852 , 28  % threatened @entity5852 , 12  % inevitable @entity5852 , 4 % missed @entity5852 and 3  % septic @entity5852 . Only one of 238 cases met all criteria of optimal clinical assessment and management. Thus, vital signs were measured in 3  %, antibiotic criteria was met in 59  % of the cases, intravenous fluid resuscitation was administered to 35  % of @entity1 with @entity551 and @entity158 was managed in 87  % of the cases. Sharp curettage was used in 69  % of those surgically evacuated and manual vacuum aspiration in 14  %. In total 3  % of the @entity5852 were categorized as unsafe. Two of eight @entity1 with @entity5852 had evacuation performed during admission-day, one @entity1 died due to @entity5852 and one from severe @entity548 . CONCLUSIONS: Guidelines were not followed and suboptimal assessment or management was observed in all but one case. This was especially due to missing documentation of vital signs necessary to diagnose life-threatening complications, poor fluid resuscitation at signs of shock, and delayed evacuation of @entity5852 .

XXXX at a rural hospital in Uganda: a quality assessment by a partially completed criterion-based audit.

@entity1 :: ('9606', 'Species') :: ['women', 'woman'] @entity295 :: ('MESH:D018805', 'Disease') :: ['sepsis', 'Sepsis'] @entity5852 :: ('MESH:D000031', 'Disease') :: ['septic abortion', 'abortions'] @entity548 :: ('MESH:D006470', 'Disease') :: ['haemorrhage'] @entity532 :: ('MESH:D003925', 'Disease') :: ['Abortion complications'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity551 :: ('MESH:D007022', 'Disease') :: ['hypotension']
@entity532 :: (MESH:D003925,Disease) :: ['Management of abortion complications']
