A Multicentric Cross-Sectional Study Investigating the Profile and Motivations of Women Seeking Unsafe Abortions in Yaoundé, Cameroon.

Background: Unsafe abortions represent a significant public health issue in Cameroon, often resulting in severe health consequences. This study aimed to investigate the prevalence, motivations, and factors associated with unsafe abortions among women in Yaoundé, Cameroon.

Methods: A cross-sectional study was conducted among women of childbearing age attending three urban health facilities in Yaoundé, Cameroon. Participants provided information on their reproductive history, including any previous abortions. Data on reasons for abortion, methods used, and sociodemographic factors were collected. Regression analysis was performed to identify factors associated with unsafe abortions.

Results: Among 234 women aged 17 to 43, 51 (21.8%) reported at least one unsafe abortion. The primary reasons cited were fear of parental disapproval (24%) and partner refusal (20%). Physicians were the main providers (39.5%), using suction curettage and/or intravaginal misoprostol (89%). Being single (adjusted odds ratio (aOR): 13.6 (5.39-34.4)), nulliparous (aOR: 5.81 (2.41-13.9)), and secondary school students (aOR: 3.23 (1.06-9.81)) were significantly associated with an increased risk of unsafe abortions.

Conclusion: Our study highlights the significant public health problem posed by unsafe abortions in Yaoundé, Cameroon. Single, nulliparous women and secondary school students are at heightened risk. These findings emphasize the urgent need for comprehensive sexual and reproductive health education, increased access to contraception, and safe abortion services targeting these groups.