Adolescent induced abortion in Benin City, Nigeria

Omu, Alexander E.; Oronsaye, A.U.; Faal, M.K.B.; Asuquo, E. E. J.

doi:10.1016/0020-7292(81)90011-4

Cited by 50 publications

(33 citation statements)

References 4 publications

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“…With over 60% of the abortions being in the first trimester, it is no surprise then that greater than 70% of cases were done by dilatation and curettage which also supports previous findings on the subject 9,19 . The fact too that over 70% of these patients had had at least one previous termination of pregnancy may not be unexpected as studies have shown that despite the increasing rate of sexual activity amongst adolescents, there is a low rate of contraceptive use in our environment 26 .…”

Section: Discussionsupporting

confidence: 77%

“…The incidence was 27.4 per 1000 live births and 3.93% of gynaecological admissions. This is much lower than the finding in a similar study done in this centre 14 years ago 19 . This may be attributed to the presence of more alternative specialist clinics and private hospitals that offer care to the complicated cases or even to a decreased incidence of complications as abortionists acquire greater proficiency.…”

Section: Discussioncontrasting

confidence: 55%

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Five Year Review Of Complicated Induced Abortions In University Of Benin Teaching Hospital, Benin City

Enabudoso¹,

Gharoro²,

Ande³

et al. 2009

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SUMMARYThis is a retrospective study of 104 cases of complicated induced abortion, seen at the University of Benin over a 5 year period. One hundred and four cases constituting 3.93% of gynaecological admissions were studied. This represents 27.4 cases per 1000 live births.The mean age of patients was 21.37 ± 5.7 years with almost 80% being between 16 and 25 years. About 90% of patients were nulliparae, unmarried and had at the most a secondary school education. Over 70% of the patients had at least a previous abortion.The mean gestational age at abortion was 11.8 ± 4.7 weeks with almost two-thirds of the women having procured the abortion in the first trimester.Greater than 70% had dilatation and curettage or suction evacuation as the mode of abortion. A 'doctor' was the attending abortionist in a majority of the cases.The major presenting features were vaginal bleeding, lower abdominal pain and vaginal discharge.The major indications for admission included incomplete abortion and post abortal sepsis. Close to a tenth of cases had abdominal visceral involvement. All the patients had antibiotic therapy, half had evacuation of retained products of conception, a fifth had laparotomy while about a sixth had blood transfusion.Over 90% of the patients were discharged in stable condition. The case fatality rate was 4%. The major causes of death were sepsis with visceral injury and acute renal failure.

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Section: Discussionsupporting

confidence: 77%

Section: Discussioncontrasting

confidence: 55%

Five Year Review Of Complicated Induced Abortions In University Of Benin Teaching Hospital, Benin City

Enabudoso¹,

Gharoro²,

Ande³

et al. 2009

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“…About one-fifth of single women had been pregnant and the same proportion had had abortions. Some studies have indicated that abortion among single women is due to ignorance, lack of contraceptive facilities (Omu et al 1981) and an unwillingness to use contraceptives because of wrong information (Okonofua et al 1992). The most common reason for non-use of contraceptives in this study was fear of side-effects.…”

Section: Discussionmentioning

confidence: 90%

Contraceptive use among hairdressers in South-west Nigeria

Omokhodion

Onadeko

Balogun

2007

Journal of Obstetrics and Gynaecology

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Hairdressers and their apprentices are mostly women in their reproductive years. The social environment in hairdressing salons provides the opportunity to discuss sexual exploits among peers and may influence decisions on sexual behavior. This study was designed to assess the knowledge and use of contraceptives among hairdressers. A structured questionnaire was used to collect information on demographic characteristics and knowledge and use of contraceptive methods among hairdressers in Ibadan, South-west Nigeria. A total of 355 hairdressers were interviewed: 60 apprentices (17%) and 295 qualified hairdressers (83%); 110 (31%) single and 240 (67%) married. They were females aged 15 - 49 years (mean 29 +/- 6.9 years). Some 70% of single women had regular sexual partners. A total of 24 single women (21%) had been pregnant and 20 (18%) had abortions. Some 121 (34%) of the study population were currently using contraceptives: 27 single and 94 married respondents. The prevalence of contraceptive use among sexually active single women was 34%. The condom was the most known and used contraceptive method. The major reasons for non-use of contraceptives were fear of side-effects (23%); need for more children (16%); or respondents were not engaged in sexual activity (12%). Contraceptive use among sexually active single hairdressers is lower than the national average. Workplace educational intervention is needed to prevent unwanted pregnancies and sexually transmitted infections among these young women.

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“…Most of the women admitted for complications of induced abortion are teenagers (Ikechebelu and Okoli 2003;Omu et al 1981). An earlier study from this centre gave the incidence of induced abortion as 4/1,000 deliveries, with 71% of them 20 years or below and eight out of 10, nulliparous (Megafu and Ozumba 1991).…”

Section: Introductionmentioning

confidence: 99%

Abortion-related mortality in a tertiary medical centre in Enugu, Nigeria

Nwogu-Ikojo

Ezegwui

2007

Journal of Obstetrics and Gynaecology

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This study reviewed abortion-related maternal deaths, from January 2000 to December 2005 at the University of Nigeria Teaching Hospital, Enugu, Nigeria, to identify maternal characteristics, abortion types, provider characteristics, complications and causes of death. Abortion was defined as termination of pregnancy before 28 completed weeks of pregnancy. There were 93 pregnancy-related deaths, and 11 were abortion-related. Abortion-related mortality accounted for 11.8% of all maternal deaths. Nine (81.8%) had induced abortions; three (27.3%) were teenagers; five (45.5%) were married; and six (54.5%) were unmarried. Five (45.5%) of the women were nulliparous. Six (54.5%) of the procedures were in private medical clinics. The cause of death was sepsis and haemorrhage in eight (72.7%) and three (27.3%) of the women, respectively. Abortion-related mortality is a major contributor to maternal mortality in our institution, with induced unsafe abortion constituting the bulk of the burden. Improved access to family planning and reproductive health services may reduce abortion-related maternal deaths.

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Adolescent induced abortion in Benin City, Nigeria

Cited by 50 publications

References 4 publications

Five Year Review Of Complicated Induced Abortions In University Of Benin Teaching Hospital, Benin City

Five Year Review Of Complicated Induced Abortions In University Of Benin Teaching Hospital, Benin City

Contraceptive use among hairdressers in South-west Nigeria

Abortion-related mortality in a tertiary medical centre in Enugu, Nigeria

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