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A Seven Year Review of the Management of Abortion Cases in Kogi State Specialist Hospital, Lokoja, Nigeria

Received: 11 July 2022    Accepted: 25 July 2022    Published: 29 July 2022
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Abstract

Despite restrictive abortion law in Nigeria, unsafe abortion for unintended pregnancies is on the increase and remains a serious concern to the health of women. The aim of this review is to highlight the management outcome of abortion cases in a tertiary health facility in a developing nation. The study was a retrospective review of demographic characteristics of patients, clinical presentations, diagnosis and treatment of abortion cases managed at the Kogi State Specialist Hospital, Lokoja, Nigeria between January 1, 2012 and December 31, 2018. Data collected were analysed using SPSS window version 20.0 statistical package. A total of 233 abortion cases were managed. Out of these 62 (26.6%) cases were from complications from induced abortions while 171 (73.4%) were other types of abortions. Majority of the patients were between 26 - 30 years (39.3%) of age. Majority of the induced abortion cases were done by Christian faithful 54 (60.6%) while 35 (39.3%) of the patients were Muslim. About 79 (88.7%) of the patients were married while 10 (11.3%) were single. All patients had standard abortion care services. There was no case of maternal mortality from abortion complications throughout the seven years under review. Unsafe abortion for unintended pregnancies remains a reproductive health problem among our women and improvement in access to contraception services, provision of safe abortion and post abortion care services may help reduce maternal morbidity and mortality.

Published in Journal of Gynecology and Obstetrics (Volume 10, Issue 4)
DOI 10.11648/j.jgo.20221004.15
Page(s) 190-195
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Unintended Pregnancy, Unsafe Abortion Complications, Management, Prevention, Developing Nation, Lokoja, Nigeria

References
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[2] Bankole A., Adewole I. F., Hussain R., Awolude O., Singh S., Akinyemi o. The incidence of Abortion in Nigeria. Int. Perspect Sex Reprod Health. 2015; 41 (4): 17 -181. doi: 10.1363/4117015.
[3] Department of Health. Abortion statistics, England and Wales: 2009. Available at www.dh.gov.uk/en/publications and statistics/publications/publications statistics/DHL-116039
[4] Birth Control Trust. Abortion provision in Britain; How services are provided and they could be improved. London: Birth control Trust, 1997.
[5] Okonofua FE, Hammed A, Nzeribe E, Saidu B, Abbas T, Adeboye T, Okorocha C,: Perception of policy maker in Nigeria toward unsafe abortion and maternal mortality, int. perspect sex. Reproductive Health. 2009 Dec. 35; (4), 194-202.
[6] Akinlusi F. M., Rabiu K. A., Adewunmi A. A., Imosemi O. D., Ottun T. A., Badmus S. A. Complicated unsafe abortion in a Nigerian Teaching Hospital: pattern of morbidity and mortality. J Obstet Gynaecol 2018; 38 (7): 961-966. doi: 10.1080/01443615.2017.1421622.
[7] Igberase G. O., Ebeigbe P. N. Exploring the pattern of induced abortion in a rural mission tertiary hospital in the Niger Delta, Nigeria. Trop Doct 2008; 38 (8): 146-148. doi: 10.1258/TD.2007.070096.
[8] Adinmic E, Unsafe abortion and its ethical sexual and reproductive rights implications, West. Afri J. Med. 2011 July-Aug, 30 (4): 245-249. PMID 22669827.
[9] Ikeako L. C., Onoh R, Ezegwui HE, Ezeonu. Pattern and outcome of induced Abortion in Abakaliki Southeast of Nigeria, Annals of Medical and Health Sciences Research; 2014 May-June: 4 (3); 442-448.
[10] BBC’ Religion and Ethic’ Be aware that these BBC pages do not cover all protestants, Muslim, Hindu or Buddhist beliefs, no date. http://en.m.wikipedia.org.
[11] Okonofua FE, Shitu SO, Oronsaye F, Ogunsaki D, Ogbonwan S, Zayyan M Attitude and practices of private medical providers towards family planning and abortion services in Nigeria. Acta Obstet Gynecol scan 2005; 84: 270-80 (pubmed) [Google scholar].
[12] Tayo A, Akinola O, Babatunde A, Adewumi A, Osinusi D, Shitu L, Contraceptive knowledge and usage amongst female secondary school students in Lagos, southwest Nigeria. J. Public Health Epidemiol, 2011; 3: 34-7 (Google scholar).
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[15] Amiaaku Mult, Hinsermu Bayu, Hastamu Mellie and Amare Alemu. Induced second trimester abortions and associated factors in Amhara region Referral Hospitals. International volume 2015. Article ID 256534. https;//doi.org/10.1155/2015/256534. Published 30 Mar 2015 (Google scholar).
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  • APA Style

    Dorcas Salime Onuminya. (2022). A Seven Year Review of the Management of Abortion Cases in Kogi State Specialist Hospital, Lokoja, Nigeria. Journal of Gynecology and Obstetrics, 10(4), 190-195. https://doi.org/10.11648/j.jgo.20221004.15

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    ACS Style

    Dorcas Salime Onuminya. A Seven Year Review of the Management of Abortion Cases in Kogi State Specialist Hospital, Lokoja, Nigeria. J. Gynecol. Obstet. 2022, 10(4), 190-195. doi: 10.11648/j.jgo.20221004.15

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    AMA Style

    Dorcas Salime Onuminya. A Seven Year Review of the Management of Abortion Cases in Kogi State Specialist Hospital, Lokoja, Nigeria. J Gynecol Obstet. 2022;10(4):190-195. doi: 10.11648/j.jgo.20221004.15

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  • @article{10.11648/j.jgo.20221004.15,
      author = {Dorcas Salime Onuminya},
      title = {A Seven Year Review of the Management of Abortion Cases in Kogi State Specialist Hospital, Lokoja, Nigeria},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {10},
      number = {4},
      pages = {190-195},
      doi = {10.11648/j.jgo.20221004.15},
      url = {https://doi.org/10.11648/j.jgo.20221004.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20221004.15},
      abstract = {Despite restrictive abortion law in Nigeria, unsafe abortion for unintended pregnancies is on the increase and remains a serious concern to the health of women. The aim of this review is to highlight the management outcome of abortion cases in a tertiary health facility in a developing nation. The study was a retrospective review of demographic characteristics of patients, clinical presentations, diagnosis and treatment of abortion cases managed at the Kogi State Specialist Hospital, Lokoja, Nigeria between January 1, 2012 and December 31, 2018. Data collected were analysed using SPSS window version 20.0 statistical package. A total of 233 abortion cases were managed. Out of these 62 (26.6%) cases were from complications from induced abortions while 171 (73.4%) were other types of abortions. Majority of the patients were between 26 - 30 years (39.3%) of age. Majority of the induced abortion cases were done by Christian faithful 54 (60.6%) while 35 (39.3%) of the patients were Muslim. About 79 (88.7%) of the patients were married while 10 (11.3%) were single. All patients had standard abortion care services. There was no case of maternal mortality from abortion complications throughout the seven years under review. Unsafe abortion for unintended pregnancies remains a reproductive health problem among our women and improvement in access to contraception services, provision of safe abortion and post abortion care services may help reduce maternal morbidity and mortality.},
     year = {2022}
    }
    

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    AB  - Despite restrictive abortion law in Nigeria, unsafe abortion for unintended pregnancies is on the increase and remains a serious concern to the health of women. The aim of this review is to highlight the management outcome of abortion cases in a tertiary health facility in a developing nation. The study was a retrospective review of demographic characteristics of patients, clinical presentations, diagnosis and treatment of abortion cases managed at the Kogi State Specialist Hospital, Lokoja, Nigeria between January 1, 2012 and December 31, 2018. Data collected were analysed using SPSS window version 20.0 statistical package. A total of 233 abortion cases were managed. Out of these 62 (26.6%) cases were from complications from induced abortions while 171 (73.4%) were other types of abortions. Majority of the patients were between 26 - 30 years (39.3%) of age. Majority of the induced abortion cases were done by Christian faithful 54 (60.6%) while 35 (39.3%) of the patients were Muslim. About 79 (88.7%) of the patients were married while 10 (11.3%) were single. All patients had standard abortion care services. There was no case of maternal mortality from abortion complications throughout the seven years under review. Unsafe abortion for unintended pregnancies remains a reproductive health problem among our women and improvement in access to contraception services, provision of safe abortion and post abortion care services may help reduce maternal morbidity and mortality.
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Author Information
  • Department of Obstetrics and Gynaecology, Kogi State Specialist Hospital, Lokoja, Nigeria

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