Correlates of Abortion Related Maternal Mortality at the Lagos State University Teaching Hospital, Ikeja
), Oluwarotimi Ireti Akinola(2), Akpan Essien Akpan(3),
(1)
(2)
(3)
Corresponding Author
Abstract
This study was carried out to highlight the probable correlates of mortality among patients managed for abortion related complications at the Lagos State University Teaching Hospital, Ikeja. All patients managed for abortion related complications between 1st January 2000 and 31st December 2003 were studied. Certain relevant socio demographic and clinical factors were compared among the survivors and fatalities. There were a total of 338 patients with abortion related complications. 299 survived while 39 died. Being single, nulliparous, of low educational status, presenting late and having major complications were significantly associated with mortality in this series. Encouragement of safe sex practices, increasing adolescents’ access to contraception, additional training of physicians and other appropriate heath workers in abortion care as well as the liberalisation of the restrictive abortion laws in Nigeria will go a long way in reducing abortion related mortality (Afr J Reprod Health 2009; 13[2]:139-
146).
RĖSUMĖ
Corrélats de la mortalité maternelle liée à l’avortement à Lagos State University Teaching Hospital, Ikeja. L’étude a été menée pour attirer l’attention sur les corrélats possibles de la mortalité chez les patientes qui reçoivent les traitements pour des complications liées à l’avortement à l’University of Lagos Teaching Hospital, Ikeja. Nous avons étudié les cas de toutes les patients qui recevaient des traitements pour des complications liées à l’avortement entre le 1e janvier 2000 et le 31 décembre 2003. Nous avons comparé certains facteurs démographiques et cliniques pertinents chez les survivants et les décès. En tout, il y avait 338 patientes qui avaient des complications liées à l’avortement. 299 ont surveçu alors que 39 étaient mortes, Dans ces séries, le fait d’être célibataire, nullipare, peu instruite, d’avoir présenté tard à l’hôpital et d’avoir des complications sérieuses ont été liés de manière significative à la mortalité. L’encouragement des pratiques sexuelles non dangereuses, la libéralisation de l’accès à la contraception par les adolescents, la formation davantage des médecins et d’autres dispensateurs de service de la santé par rapport des soins de l’avortement aussi bien que la libéralisation des lois restrictives contre l’avortement au Nigéria, aideraient d’une large mesure à réduire la mortalité lié à l’avortement (Afr J Reprod Health 2009; 13[2]:139-146).
KEYWORDS: Abortion, fatality, Ikeja
References
Okonofua FE. Abortion. In: Okonofua FE, Odunsi K. (Eds.) Contemporary Obstetrics and Gynaecology for Developing Countries. WHARC, Benin-City, 2003, Chap.10, 1792002.
Medical methods of termination of pregnancy. A report of a WHO Scientific Group. World Health Organization (WHO), Technical Report Series, Geneva; 1997.
Ahman E, Igbal S. Unsafe Abortion. Worldwide Estimates for 2000. Reprod Health Matters 2002; 10(19): 13-17.
World Health Organisation (WHO). Unsafe Abortion: Global and Regional Estimates of the Incidence of Unsafe Abortion and Associated Mortality in 2003. Fifth Edition, Geneva: WHO, 2007.
World Health Organization. Safe Abortion. Technical and Policy Guidance for Health Systems. Geneva: WHO, 2003.
Sedgh G, Henshaw S, Singh S, Ahman E, Shah IH. Induced abortion: estimated rates and trends worldwide. Lancet. 2007; 370(9595): 1338-45.
Singh S. Hospital admissions resulting from unsafe abortion: estimates from 13 developing countries. Lancet. 2006; 368(9550): 1887-92.
Nigerian Abortion Policy. http://www.un.org/esa/population/publication s/ abortion/doc/nigeria.doc. Accessed 26th February 2009.
Grimes DA. Unsafe abortion; the silent scourge. Br Med Bull 2003; 67:99-113
Ujah IA, Aisien OA, Mutihir JT, Vanderjagt
DJ, Glew RH, Uguru VE. Factors contributing o maternal mortality in north central Nigeria : a seventeen-year review. Afr J Reprod Health. 2005; 9(3):27-40.
Onakewhor JU, Gharoro EP. Changing trends in maternal mortality in a developing country. Niger J Clin Pract. 2008; 11(2) : 111-20.
Ikechebelu JI, Okoli CC. Morbidity and mortality following induced abortion in Nnewi,Nigeria. Trop Doct. 2003; 33(3): 17072.
Sule-Odu AO, Olatunji AO, Akindele RA. Complicated induced abortion in Sagamu, Nigeria. J Obstet Gynaecol. 2002; 22(1): 5861.
Gebreselassie H, Gallo MF, Monyo A, Johnson BR. The magnitude of abortion complications in Kenya. BJOG. 2005; 112(9) : 1229-35.
Shah IH, Ahman E. Age patterns of unsafe abortion in developing country regions. Repr Health Matters. 2004; 12 (24; suppl): 9-17.
Oye-Adeniran BA, Adewole IF, Umoh AV, Fapohunda OR, Iwere N. Characteristics of abortion care seekers in south-western Nigeria. Afr J Reprod Health. 2004; 8(3): 8191.
Nwogu-Ikojo EE, Ezegwui HU. Abortionrelated mortality in a tertiary medical centre
in Enugu,Nigeria. J Obstet Gynaecol 2007; 27(8): 835-37.
Sedgh G, Bankole A, Oye-Adeniran B, Adewole IF, Singh S, Hussain R. Unwanted pregnancy and associated factors among Nigerian women. Int Fam Plan Perspect 2006; 32(4): 175-184.
Ogunniyi SO, Makinde OO, Dare FO.
Abortion-related deaths in Ile-Ife, Nigeria; a 12 year Review. Afr J Med Med Sci 1990;
Article Metrics
Abstract View
: 516 times
Download : 0 times
Refbacks
- There are currently no refbacks.
