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Menstrual regulation in Ibadan, Nigeria
Summary
Menstrual regulation (MR) is a safe and effective uterine aspiration procedure. In Subsaharan Africa, MR serves as an acceptable backup for contraception and a method to recruit new contraceptive users.
Area of Science:
- Reproductive Health
- Gynecology
- Public Health in Africa
Background:
- Menstrual regulation (MR) is a globally recognized safe and effective procedure.
- Limited data exists on MR's efficacy and acceptability in Subsaharan Africa.
- Contraceptive backup and failure management are critical public health concerns.
Purpose of the Study:
- To evaluate the safety and effectiveness of menstrual regulation (MR) in an urban African setting.
- To determine MR's acceptability as a contraceptive backup method.
- To assess MR's role in recruiting new contraceptive acceptors.
Main Methods:
- Retrospective data analysis of 507 MR patients treated at University College Hospital, Ibadan, Nigeria.
- Data collected between January 1974 and April 1976.
- Evaluation of complication rates and procedure failure.
Main Results:
- MR was found to be safe and effective for 93.4% of patients.
- The overall complication rate was 3.4%.
- MR procedure failure occurred in 3.2% of cases.
Conclusions:
- Menstrual regulation (MR) is a safe and effective procedure in an urban African setting.
- MR is an acceptable backup method for other contraceptive strategies.
- MR can effectively recruit new family planning acceptors and serve as a backup for contraceptive failures.