Introduction: The clandestine abortions remain a major health problem in\ndeveloping countries including the Central African Republic. At the main\nmaternity hospital of Bangui in the Central African Republic, a study conducted\nin 2000 indicates that clandestine abortions (CAs) accounted for\n43.4% of all abortions recorded in the service. The purpose of our study was\nto evaluate the evolution of CAs about the health care management efforts\nmade over the last 4 years. Patients and Methods: We conducted a prospective\ndescriptive and analytical study over a period of 4 years (from January\n2016 to December 2019). This study focused on the complications of clandestine\nabortions that occurred during the course of our study at the HCB reference\nmaternity hospital. Results: We identified 267 clandestine abortions for\n783 spontaneous abortions. The frequency of CAs was 34.1%. The highest\nnumber of CAs was observed in patients aged between 20 and 24 years with\nan average age of 23.7 years. The average parity was 2.6. It appeared in our\nstudy that students were the most represented (40.8%). Rescuers were the\nmost incriminated (29.2%) in clandestine abortion (CA). Infectious complications\npredominated in (79.1%) of cases. Antibiotic therapy was almost\nsystematic (96.6%). Laparotomy was performed in (38.9%) cases. The proportion\nof deceased women who had a pregnancy of more than 12 weeks was\nhigher with a statistically significant difference ....................
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