Morbi-Mortality Linked to Unsafe Abortions—Difficulties in Accessing Safe Abortions in Cameroon: Meta-Analysis and Systematic Review

Background: Unsafe abortions are one of the leading causes maternal mortality, especially in developing countries. In Cameroon, mortality rate remains high, and scarcity data on leads to a lack solid evidence advocate extent related complications. Our objective was evaluate unsafe complications, assess difficulties accessing safe our setting. Methods: We carried out meta-analytic systematic review biomedical databases MEDLINE (Pubmed), Google Scholar African Journal Online concerning and/or Cameroon. The keywords used for search seen table I. Selection studies simultaneously done by two authors. Data were extracted through form designed Form. random-effect model proportion estimation, I2 Q statistics heterogeneity. Results: A total 430 identified, from which 28 included analysed. About 5% (95% CI: 3 - 7) death. contribution deaths 23% 20 27). severe bleeding anemia 40% 18 63) infection 17% 7 28), dominated pelvic infections, pelviperitonitis, sepsis, septic shock. Case reports described uterine perforations, rupture during following pregnancy. Abortion performed practitioner’s or patient’s home 41.4% cases, health center 35.1% private clinic 21.2% drugs selling places traditional healer clinics. restriction abortion laws, stigma surrounding its consequences at any level society, lead underreporting deep reluctance services. Conclusion: strengthening awareness campaigns provider behavior change communication, family planning, de-stigmatization abortions, training personnel post-abortion care, multidisciplinary multicentric action would contribute reduction morbidity due abortions.