Abiodun O M, Balogun O R, Adeleke N A, Farinloye E O
Department of Obstetrics and Gynaecology, College of Health Sciences, Osun State University, Osogbo, Nigeria.
Afr J Med Med Sci. 2013 Mar;42(1):111-5.
Induced abortion is common and largely performed under clandestine and unsafe conditions in Nigeria. Complications from such procedures contribute significantly to maternal morbidity and mortality in the country.
To determine the sociodemographic characteristics and pattern of complications present in patients managed for unsafe abortion.
The patients studied were treated in Federal Medical Centre, Ido Ekiti, a tertiary health institution located in a rural town and a main referral hospital in Ekiti State, South West Nigeria.
The records of patients admitted for complications of unsafe abortion over a 5-year period were analyzed with regard to sociodemographic characteristics, gestational age at termination of pregnancy, the providers, methods used and the complications they develop.
A total of 102 patients were treated for complications of unsafe abortion during the period under review constituting 7.4% of total gynaecological admission. Majority (60.4%) of the patients were less than 25 years old, 74.0% were students while 81.3% were unmarried. Only 9.4% of the women had ever used contraceptives. Of all the cases, 21 (21.9%) were performed within 8 weeks of gestation while 47.9% were performed in the second trimester. Surgical uterine evacuation was the method used in 67.7% of the patients and 65.6% of the abortions were performed by non physicians. Sepsis was the commonest complication in the patients (79.2%) while uterine perforation was present in 12.5% of the women. The case fatality rate was 16.6% and unsafe abortion accounted for 30.8% of all maternal mortality during the period.
As young single nulliparous students are the principal sufferers of complications of unsafe abortion in this study, young persons, especially in-school adolescents, should be targeted for the provision of comprehensive reproductive health services.
在尼日利亚，人工流产很常见，且大多是在秘密和不安全的情况下进行的。此类手术引发的并发症在很大程度上导致了该国孕产妇的发病和死亡。
确定接受不安全人工流产治疗的患者的社会人口学特征及并发症模式。
本研究的患者在伊多·埃基蒂联邦医疗中心接受治疗，该中心是位于尼日利亚西南部埃基蒂州一个乡村小镇的三级医疗机构及主要转诊医院。
对5年间因不安全人工流产并发症入院的患者记录进行分析，内容包括社会人口学特征、终止妊娠时的孕周、手术提供者、所用方法及出现的并发症。
在研究期间，共有102例患者因不安全人工流产并发症接受治疗，占妇科住院总数的7.4%。大多数（60.4%）患者年龄小于25岁，74.0%为学生，81.3%未婚。只有9.4%的女性曾使用过避孕药具。在所有病例中，21例（21.9%）在妊娠8周内进行，47.9%在妊娠中期进行。67.7%的患者采用手术清宫方法，65.6%的人工流产由非医生实施。脓毒症是患者中最常见的并发症（79.2%），12.5%的女性出现子宫穿孔。病死率为16.6%，在此期间不安全人工流产占所有孕产妇死亡的30.8%。
由于年轻单身未育学生是本研究中不安全人工流产并发症的主要受害者，应针对年轻人，尤其是在校青少年，提供全面的生殖健康服务。
