Department of Obstetrics and Gynaecology, College of Medical Sciences, Gombe State University, Gombe, Nigeria.
Department of Obstetrics and Gynaecology, Federal Teaching Hospital Gombe/College of Medical, Gombe, Nigeria.
J Obstet Gynaecol. 2021 Jan;41(1):124-127. doi: 10.1080/01443615.2020.1721446. Epub 2020 Mar 9.
The aim of this study was to determine how patients who presented following sexual assault were managed at a secondary health facility in Gombe, Nigeria. The case notes of patient who presented at the Accident and Emergency Unit of State Specialist Hospital Gombe after serious sexual assault from August 1 2016 to July 30 2018 were retrieved and the data were entered into SPSS Version 20 (SPSS Inc., Chicago, IL) and summarised as proportions. Of the 15,613 patients who presented, 277 were alleged rapes which constituted 1.77% of presentations. Two hundred and one of the patients were females with a total of 2341 admissions at the gynaecological ward representing 8.6%. One hundred and seventy one (67%) of the patients did not receive any form of care, 127 (54.0%) were not given antibiotics prophylaxis against STIs, 117 (42%) did not receive post-exposure prophylaxis for HIV/AIDS and 80% of the women between the ages of 15-45 had emergency contraception. One hundred and ninety seven (71.1%) did not receive any psychological support. Rape is common. Measures should be put in place to improve the clinical management of survivors.Impact statement Rape is common in Gombe, Nigeria, and a standard management protocol has been developed with a view to reduce the adverse consequences associated with it. The results of this study show that survivors of rape in the developing countries like ours do not receive adequate clinical and psychological care when they present at the hospital. Given the results, there is the need for physicians managing rape cases to pay attention to details so as to minimise both immediate and long-term complications associated with rape.
本研究旨在确定在尼日利亚贡贝的一家二级医疗机构中，性侵犯后就诊的患者是如何得到治疗的。从 2016 年 8 月 1 日至 2018 年 7 月 30 日，检索了在贡贝州专科医院急症室就诊的严重性侵犯患者的病历，并将数据输入 SPSS 版本 20（SPSS Inc.，芝加哥，IL）并以比例形式总结。在 15613 名就诊患者中，有 277 例被指控为强奸，占就诊人数的 1.77%。201 名患者为女性，妇科病房共有 2341 人次入院，占 8.6%。171 名（67%）患者未接受任何形式的护理，127 名（54.0%）未接受性传播感染预防用抗生素预防，117 名（42%）未接受艾滋病毒/艾滋病暴露后预防，15-45 岁之间的 80%女性接受了紧急避孕。197 名（71.1%）患者未接受任何心理支持。强奸在贡贝很常见。应采取措施改善幸存者的临床管理。影响声明在尼日利亚的贡贝，强奸很常见，已经制定了标准的管理方案，以减少与之相关的不良后果。本研究结果表明，在我们这样的发展中国家，强奸幸存者在医院就诊时没有得到足够的临床和心理护理。鉴于这些结果，管理强奸案件的医生需要注意细节，以尽量减少与强奸相关的即时和长期并发症。
