Clinic-based Surveillance of Adverse Pregnancy Outcomes to Identify Induced Abortions in Accra, Ghana
Article first published online: 20 MAY 2008
© 2008 The Population Council, Inc.
Studies in Family Planning
Volume 39, Issue 2, pages 133–140, June 2008
How to Cite
Oliveras, E., Ahiadeke, C., Adanu, R. M. and Hill, A. G. (2008), Clinic-based Surveillance of Adverse Pregnancy Outcomes to Identify Induced Abortions in Accra, Ghana. Studies in Family Planning, 39: 133–140. doi: 10.1111/j.1728-4465.2008.00160.x
- Issue published online: 20 MAY 2008
- Article first published online: 20 MAY 2008
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.