Igberase G O, Ebeigbe P N
Department of Obstetrics and Gynaecology, Baptist Medical Centre, Eku, Delta State, Nigeria.
Trop Doct. 2008 Jul;38(3):146-8. doi: 10.1258/td.2007.070096.
Unsafe abortion remains a major cause of maternal morbidity and mortality in developing countries including Nigeria. We report a 10-year descriptive review of 118 consecutive cases of complicated induced abortions. At our centre, complications of induced abortion constituted 2.3% of maternal admissions, 5.6% of gynaecological admissions and 22.6% of maternal deaths. Fifty-nine percent of the women were married and the mean age was 25.6 +/- 7.9 years. Doctors performed 51.7% of the induced abortion and nurses performed 13.9%. Of the mortalities, medical doctors did 61 of the abortions in which 18 died (29.5%); traditional medical practitioners were responsible for 13 of the abortions in which two died (15.4%); of the 16 abortions performed by nurses, two died (12.5%). Sepsis was the most common cause of death (73%). There is an urgent need to improve the knowledge and utilization of modern contraception by rural women in order to prevent unwanted pregnancies. Doctors need to be continuously trained inn the basic principles of postabortion care.
在包括尼日利亚在内的发展中国家，不安全堕胎仍是孕产妇发病和死亡的主要原因。我们报告了对118例连续复杂人工流产病例的10年描述性回顾。在我们中心，人工流产并发症占孕产妇入院病例的2.3%、妇科入院病例的5.6%以及孕产妇死亡病例的22.6%。59%的女性已婚，平均年龄为25.6±7.9岁。医生实施了51.7%的人工流产，护士实施了13.9%。在死亡病例中，医生实施了61例人工流产，其中18例死亡（29.5%）；传统医学从业者实施了13例人工流产，其中2例死亡（15.4%）；护士实施的16例人工流产中有2例死亡（12.5%）。败血症是最常见的死亡原因（73%）。迫切需要提高农村妇女对现代避孕方法的认识和使用率，以防止意外怀孕。医生需要持续接受流产后护理基本原则方面的培训。
