Spontaneous abortion or early termination of a pregnancy is a very frequent gynecological-obstetrical accident, affecting 12-24% of pregnancies.

Spontaneous abortion or early termination of a pregnancy is a very frequent gynecological-obstetrical accident, affecting 12-24% of pregnancies. But despite this frequency, it appears that spontaneous abortion is not a trivial event for the women who experience it. It poses psychosocial problems for the woman, the couple, and the family, especially in Africa where the child occupies a predominant place. This study aimed to evaluate spontaneous abortion and its psychological repercussions in a population of women who had undergone a spontaneous abortion and were followed up at the Philippe Maguilène Senghor Health Centre in Yoff, Dakar. The study was qualitative and cross-sectional, with a descriptive and analytical aim. It involved 125 women who had spontaneous abortions and covered eight months from May 2012 to December 2012. The data were collected in the gynecology and obstetrics department of the Philippe. Maguilène Senghor Health Centre in Yoff, Dakar, where comprehensive emergency obstetric and neonatal care has become a reality since January 2012. The results showed a young population, and the most represented age group was 25-29 years. These young women were predominantly Muslim (88.8%), married (86%), and monogamous (56.8%). Non-professionals were the most represented with a rate of 47.2%. Students represented only 10%. The dominant reason for consultation was metrorrhagia with 64.8% of cases. Almost all abortions were early (less than 15 weeks gestation) (92%). Intrauterine manual aspiration was the most used therapeutic method in 98.4% of cases. These young women had expressed several feelings after their abortions. The most common feelings were anxiety (73.6%), anger (53.6%), guilt (48.8%), and sadness (40.0%). This study shows that spontaneous abortion seems to generate psychological suffering for the women who are confronted with it. This suffering varies greatly from one woman to another. For some, it will be the loss of a pregnancy and for others the loss of a child. Reducing the pain of this loss sometimes requires more than recognition of the suffering by those around them. Consideration of women's suffering and the provision of support would help them to cope better with this event and to identify those with intense symptoms so that they can be directed towards appropriate follow-up