Complications from unsafe abortion are among the major causes of preventable maternal morbidity and mortality, which may be compounded by delays and disparities in treatment. We conducted a secondary analysis of women with symptoms of hypovolemic shock secondary to severe obstetric hemorrhage in Tanzania. We compared receipt of three lifesaving interventions among women with abortions versus other maternal hemorrhage etiologies. Interventions included: non‐pneumatic anti‐shock garment (NASG) (N = 393), blood transfusion (N = 249), and referral to a higher‐capacity facility (N = 131). After controlling for severity of disease and other confounders, women with abortion‐related hemorrhage and shock had 78 percent decreased odds of receiving NASG (p < 0.001) and 77 percent decreased odds of receiving a blood transfusion (p < 0.001) compared to women with hemorrhage and shock from other etiologies. Our findings suggest that, in Tanzania, women with abortion‐related hemorrhage received lower quality of care than women with other hemorrhage etiologies.

中文翻译：

---

坦桑尼亚流产妇女与不流产病因的挽救性产科出血治疗的差异。

不安全流产引起的并发症是可预防的孕产妇发病和死亡的主要原因之一，而治疗的延迟和差异可能会加重病情。我们对坦桑尼亚发生严重产科出血继发低血容量性休克症状的妇女进行了二次分析。我们比较了堕胎妇女与其他产妇出血病因的三种救生干预措施的接收情况。干预措施包括：非气动抗冲击衣服（NASG）（N = 393），输血（N = 249）和转诊至更高能力的医疗机构（N = 131）。在控制了疾病和其他混杂因素的严重性之后，流产相关出血和休克的妇女接受NASG的几率降低了78％（p <0.001），接受输血的几率降低了77％（p <0）。001）与其他病因导致出血和休克的女性相比。我们的发现表明，在坦桑尼亚，流产相关出血的妇女获得的护理质量低于其他出血原因的妇女。