Background: There are no clear data driving most clinical recommendations for abortion care in women with underlying medical conditions, such as cardiac disease. Current abortion practice in such women is based on limited retrospective studies, mainly case reports and case series. In our institution (a tertiary center in Ethiopia), we practice a multidisciplinary team approach to abortion care for patients with medical conditions.

Objective: Describe the value of a multidisciplinary team approach in abortion care in patients with underlying medical conditions.

Methods: This is a retrospective descriptive analysis of abortion care in women with underlying medical conditions (cardiac and noncardiac medical conditions) over a 5-year period (November 2016-October 2021) at St. Paul's Hospital Millennium Medical College, in Ethiopia. Data were extracted by reviewing patients' medical records using a structured questionnaire. Simple descriptive statistics were applied for analysis using SPSS version 23. Results are presented as frequencies and percentages.

Results: Fifteen induced abortion cases in women with underlying medical conditions were analyzed, out of which 11 were in women who were critically ill. The median gestational age was 20 weeks. Ten subjects, 10/15 (66.7%), had a cardiac condition, whereas the rest 5/15 (33.3%) were noncardiac cases. Ten out of the 11 critically ill patients were managed under multidisciplinary team approach, and there were no complications encountered. Out of these, 7/10 (70%) received medication abortion care between 19 and 25 weeks gestation, including 5 cardiac patients with New York Heart Association-III and IV conditions.

Conclusion: In this study, more than three quarters of women with medical conditions who had abortion care were critically ill, and almost all of them were managed with a multidisciplinary team approach. None of the patients suffered a deterioration of their medical conditions, demonstrating the utility of incorporating a multidisciplinary team approach during abortion care for such cases.

Keywords: abortion care; abortion care in cardiac disease; abortion care in medical conditions.

© 2023 The Authors. Public Health Challenges published by John Wiley & Sons Ltd.

背景： 目前大多数关于患有先天性心脏病等基础疾病的女性的流产护理临床建议缺乏明确的数据支持。当前针对这些患者的做法主要基于有限的回顾性研究，主要是病例报告和案例系列。在我所在的机构（埃塞俄比亚的一家三级医疗中心），我们采用多学科团队的方法来处理有医学状况患者的流产问题。

目的： 描述在患有基础疾病的患者中采用多学科团队方法进行流产护理的价值。

方法： 这项研究是对2016年11月至2021年10月期间，在埃塞俄比亚圣保罗医院千禧医学学院内，有基础疾病（心脏和非心脏医疗状况）的女性进行流产护理的回顾性描述分析。通过查阅患者的病历并使用结构化问卷提取数据，并使用SPSS 23版本进行简单的描述性统计分析。结果以频数和百分比的形式呈现。

结果： 本研究共分析了15例患有基础疾病女性的诱导流产案例，其中11例患者病情危重。妊娠期中位数为20周。十名受试者（占总数66.7%）有心脏状况，而其余五名（占33.3%）是非心脏类病例。在11名重症患者中有10人接受了多学科团队管理，并且没有遇到任何并发症。在这10例中，有7人在妊娠19至25周时接受药物流产护理，其中包含5名纽约心脏病协会III级和IV级状况的心脏病患者。

结论： 在本研究中，超过四分之三因基础疾病而进行流产的女性病情危重，并且几乎所有人都采用多学科团队方法管理。没有患者的健康状况恶化，表明在处理这类情况时整合多学科团队的方法具有实用性。

关键词： 流产护理；心脏疾病中的流产护理；基础疾病中的流产护理。