Rabiu K A, Omololu O M, Ojo T O, Adewunmi A A, Alugo B G
Department of Obstetrics and Gynaecology, Lagos State University Teaching Hospital, Ikeja,Lagos State, Nigeria.
Niger Postgrad Med J. 2009 Dec;16(4):251-5.
To assess the incidence, pattern of presentation and management of complications resulting from unsafe abortion as well as the associated demographic variables at the Lagos Island Maternity Hospital.
A cross sectional survey of all cases with complicated induced abortion was carried out between 1st August 2005 and 31st January 2007.
The majority of the patients were young 21.7% were teenagers between 14 and 19 years while 32.6% were in the 20-24 year age group. The majority (64.0%) were single while 30.9% were married, 1.7% were divorced, while 3.4% were separated. Teenagers and single women were more likely to obtain their abortion late (above 12 weeks gestation). 81.2% of the patients knew about modern methods of contraception but only 34.5% had ever used contraception and only 8.6% were using contraception when they became pregnant. Medical doctors were the abortionists in 46.9% of the cases, followed by nurses (17.7%) and traditional practitioners. Retained products of conception was the commonest complication (77.1%) followed by anaemia (48.6%) and sepsis (44.6%). Evacuation of the uterus was the commonest surgical procedure done. There were 16 maternal deaths giving a case fatality rate of 9.14%. Sepsis was the commonest cause of death.
Unsafe abortion remains a serious concern to the health of women. Efforts need to be maximised at preventing unwanted pregnancy by making contraceptive services easily accessible to women. Effective post abortion care services need to be put in place.
评估拉各斯岛妇产医院不安全堕胎所致并发症的发生率、表现形式及处理情况，以及相关人口统计学变量。
于2005年8月1日至2007年1月31日对所有复杂人工流产病例进行横断面调查。
大多数患者较为年轻，21.7%为14至19岁的青少年，32.6%为20至24岁年龄组。大多数（64.0%）为单身，30.9%已婚，1.7%离婚，3.4%分居。青少年和单身女性更有可能在妊娠12周以上进行堕胎。81.2%的患者了解现代避孕方法，但只有34.5%曾经使用过避孕措施，怀孕时仅8.6%正在使用避孕措施。46.9%的病例堕胎者为医生，其次是护士（17.7%）和传统从业者。妊娠物残留是最常见的并发症（77.1%），其次是贫血（48.6%）和败血症（44.6%）。清宫术是最常见的外科手术。有16例孕产妇死亡，病死率为9.14%。败血症是最常见的死亡原因。
不安全堕胎仍然是妇女健康的严重问题。需要通过使妇女易于获得避孕服务来最大限度地努力预防意外怀孕。需要建立有效的堕胎后护理服务。
