Risk Factors for Complications of Induced Abortions in Nigeria

Mitsunaga, Tisha; Larsen, Ulla; Okonofua, Friday

doi:10.1089/jwh.2005.14.515

Cited by 19 publications

(18 citation statements)

References 16 publications

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“…A significant correlation with celibacy or separated or divorced women or widow was also observed in the present study, and these results corroborate those reported by many other authors [10, 11, 13, 16, 20–22]. These results differ from those of some authors who found a significant correlation with marriage or cohabitation: for example, in 2014 Dragoman’s secondary analysis of data from the World Health Organization (WHO), that may be correlated to the probable confusion that would be induced by cases of complications resulting from spontaneous abortions that had not been discriminated against in the database [15]; Igberase, at a tertiary hospital located in rural Nigeria [12], that may reflect possible rural realities; Shah at a University Hospital in Pakistan, and Erfani in Tehran, Iran [23, 24].…”

Section: Discussionsupporting

confidence: 94%

Analysis of induced abortion-related complications in women admitted to the Kinshasa reference general hospital: a tertiary health facility, Democratic Republic of the Congo

2018

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BackgroundDue to a lack of relevant data on induced abortions in the Democratic Republic of the Congo (DRC) as well as the persistence of maternal deaths in the country, this study aims to analyse the induced abortion-related complications in women who were admitted to the Kinshasa Reference General Hospital (KRGH).MethodsThis is a cross-sectional study on 368 obstetric and gynecological patients who were admitted, as emergency cases, to the KRGH during 2014. This health facility was selected because it is a tertiary health facility with an obstetric and gynecological emergency unit most used in the city of Kinshasa. Patient data were collected from patient records and analyzed.ResultsFrom the 368 patients admitted to receive obstetric and gynecological emergency care services in 2014 at the KRGH, 12.2% (95% CI: 9.1–16.1%) had complications due to induced abortion that was significantly diagnosed to adolescents (p < 0.001), single or separated or divorced women or widow(p < 0.001), and to patients with history of one or several induced abortions(p < 0.001). The median duration of hospitalization was ten days and this period of time was significantly longer for the patients who underwent surgery for pelvic peritonitis due to uterine perforation(p < 0.001) compared with the group of patients who underwent Caesarean section/hysterectomy.The mortality rate related to them is 37.8% (95% CI: 23.8–53.5%) with an increase of risk of death in the presence of a post-abortive pelvic peritonitis-type complication, 56.3% of deaths occurred after two days of hospitalization.ConclusionThe complications of induced abortions are a major public health problem due to its frequency among patients admitted to the KRGH, as well as the poor medical management, and mortality percentage related to them. Therefore, there is a need to understand the reason for the poor medical management to fill in and provide an adequate intervention package.

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Section: Discussionsupporting

confidence: 94%

Analysis of induced abortion-related complications in women admitted to the Kinshasa reference general hospital: a tertiary health facility, Democratic Republic of the Congo

2018

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“…Mitsunaga et al in their review of risk factors for complications of abortion in south western Nigeria identified haemorrhage among the common post abortal complication amongst patients seen. 8 However, other studies identified sepsis as the commonest post abortal complication. 9 - 11 …”

Section: Discussionmentioning

confidence: 99%

Knowledge about complications and practice of abortion among female undergraduates in the University of Ibadan, Nigeria

Cadmus¹,

Owoaje²

2011

Ann. Ibadan Postgrad. Med.

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Background:Unwanted pregnancies and unsafe abortion pose major health risks to women in the reproductive age group. Female undergraduates are particularly exposed to these risks. This study was carried out to assess the knowledge about complications and practice of abortion among female undergraduates of the University of Ibadan.Methods:A cross-sectional study was conducted using structured, self-administered questionnaires, to collect data on respondents’ socio-demographic characteristics, sexual behaviour, knowledge about various complications of abortion and practice of abortion. Data was analyzed using SPSS version 14.Results:A total of 425 students were interviewed, mean age of the undergraduates was 21.5± 2.8 years. Overall, 122 (29%) of the respondents had ever had sexual intercourse. Twenty five percent of those who were sexually active had ever been pregnant and 90% had terminated the pregnancy. The most common reason given for termination was that pregnancy was unplanned for. Most of the respondents 354 (83.3%) had a good knowledge about complications of abortion and mean knowledge score was 4.01±1.58 (range 0-5).Conclusion:This group of students were aware of the risks associated with unsafe abortion; however, the abortion rate was still high. Sexual reproductive health interventions are needed on campus in order to equip female undergraduates with comprehensive knowledge and skills to reduce the likelihood of unplanned pregnancies

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“…The immediate complications of abortion, namely heavy bleeding and infection have been recognized as important factors that contribute to increase in maternal mortality and morbidity due to abortion. 3,6 these complications have also been identified to occur more with abortions that are induced unsafely. 3 Each year, approximately 20 million unsafe abortions are performed worldwide.…”

Section: Introductionmentioning

confidence: 99%

Determinants of immediate complications of abortion: A study done in Mekane Hiwet Maternity Hospital.

Sebhatu¹,

Zerezghi²,

Asrat³

et al. 2010

Jrnl Erit Med Assoc

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Risk Factors for Complications of Induced Abortions in Nigeria

Abstract: Policies and programs should address improving abortion practices and postabortion care, increasing contraceptive use, and reducing the practice of female circumcision.

Cited by 19 publications

References 16 publications

Analysis of induced abortion-related complications in women admitted to the Kinshasa reference general hospital: a tertiary health facility, Democratic Republic of the Congo

Analysis of induced abortion-related complications in women admitted to the Kinshasa reference general hospital: a tertiary health facility, Democratic Republic of the Congo

Knowledge about complications and practice of abortion among female undergraduates in the University of Ibadan, Nigeria

Determinants of immediate complications of abortion: A study done in Mekane Hiwet Maternity Hospital.

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