尼日利亚拉各斯不孕症管理的模式与挑战
The pattern and challenges of infertility management in Lagos, Nigeria.
作者信息
Adegbola O, Akindele M O
机构信息
Department of Obstetrics and Gynaecology, Lagos University Teaching Hospital, Lagos, Nigeria.
出版信息
Afr Health Sci. 2013 Dec;13(4):1126-9. doi: 10.4314/ahs.v13i4.37.
BACKGROUND
Infertility remains a threat to successful reproduction by couples desirous of pregnancy.
OBJECTIVE
To determine the pattern of infertility cases amongst infertile couples seeking care in Lagos University Teaching Hospital as well as challenges in their management.
METHODS
A review of the management of couples referred for infertility to the gynaecological outpatient clinic of the Lagos University Teaching Hospital (LUTH), Nigeria from 1(st) January 2005 to 31(st) December 2006.
RESULTS
The incidence of infertility was found to be 26.8% of the gynaecological consultations with a mean duration of infertility of 4.3 ± 3.4 years. The mean age of the women was 33.8 ± 5.2 years and 66.1% were nulliparous. Secondary infertility accounted for 80% of cases. Male factors only was the cause in 11.1%, female factor only in 37.8%, both male and female factors in 40% while no cause was identifiable in 11.1%. There was no association between tubal occlusion and a history of induced abortion in this study (p >0.05). There was a high rate of discontinuation of care by their large numbers lost to follow up.
CONCLUSION
Infertility is still a public health problem in Lagos, Nigeria.
背景
不孕不育仍然是渴望怀孕的夫妇成功受孕的一大威胁。
目的
确定在拉各斯大学教学医院寻求治疗的不孕夫妇中不孕病例的模式以及治疗中的挑战。
方法
回顾2005年1月1日至2006年12月31日转诊至尼日利亚拉各斯大学教学医院（LUTH）妇科门诊治疗不孕不育的夫妇的治疗情况。
结果
发现不孕不育的发生率占妇科会诊的26.8%，平均不孕时间为4.3±3.4年。女性的平均年龄为33.8±5.2岁，66.1%为未生育过。继发性不孕占病例的80%。仅男性因素导致的占11.1%，仅女性因素导致的占37.8%，男女因素均有的占40%，而11.1%未发现病因。本研究中输卵管阻塞与人工流产史之间无关联（p>0.05）。由于大量患者失访，治疗中断率很高。
结论
在尼日利亚拉各斯，不孕不育仍是一个公共卫生问题。
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