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Procured abortion in Ilorin, Nigeria

M Anate1, O Awoyemi, O Oyawoye

  • 1Faculty of Health Sciences, University of Ilorin, Nigeria.

East African Medical Journal
|June 1, 1995
PubMed
Summary

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Procured abortions in Ilorin, Nigeria, resulted in a high mortality rate of 90.3 per thousand. Complications included sepsis, anemia, and organ injury, exacerbated by poor healthcare infrastructure.

Area of Science:

  • Public Health
  • Obstetrics & Gynecology
  • Sociology

Background:

  • Procured abortions present significant maternal health challenges in many regions.
  • Understanding the specific risks and contributing factors is crucial for intervention.

Purpose of the Study:

  • To investigate maternal mortality and morbidity associated with procured abortions in Ilorin, Nigeria.
  • To identify social factors and healthcare system deficiencies impacting outcomes.

Main Methods:

  • A prospective study was conducted over 24 months.
  • Data was collected from 144 cases of procured abortions.

Main Results:

  • A high mortality rate of 90.3 per 1000 procured abortions was observed.
Keywords:
Abortion, Illegal--complicationsAbortion, InducedAdolescent PregnancyAfricaAfrica South Of The SaharaDemographic FactorsDeveloping CountriesEnglish Speaking AfricaFamily PlanningFertilityFertility Control, PostconceptionMaternal MortalityMortalityNigeriaPopulationPopulation DynamicsReproductive BehaviorResearch MethodologySampling StudiesStudiesSurveysWestern Africa

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  • Common complications included genital sepsis, hemorrhagic anemia, gut injury, uterine perforation, and vesicovaginal fistulae (VVF).
  • Factors contributing to adverse outcomes included a poor referral system, late presentation, inadequate blood transfusion services, and drug unavailability.
  • Conclusions:

    • Procured abortions pose a substantial risk to maternal health in the study area.
    • Addressing issues like improving healthcare infrastructure, enhancing contraceptive use, and promoting sex education is vital.