Abortion-related mortality in a tertiary medical centre in Enugu, Nigeria
Abstract
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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In Nigeria, 12-13% of maternal deaths have been reported to be due to unsafe abortion.
“while in Nigeria 12-13% of maternal deaths have been reported to be due to unsafe abortion (25,26).”
From Unsafe abortion and postabortion care - an overview (2011) · cites this paper as [25]
Cites
Okonofua, F. E., Shittu, S. O., Oronsaye, F., Ogunsakin, D., Ogbomwan, S., & Zayyan, M. (2005) · Acta Obstetricia et Gynecologica Scandinavica · doi:10.1111/j.0001-6349.2005.00405.x · Cited by 41 · cited 1× · see citing works
“Okonofua et al. (2005) in a survey of private medical practitioners in three states in Nigeria showed that 57% of them reported lack of expertise in managing second-trimester abortions, and those who managed such women reported use of nonstandard methods and procedures.”
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Unsafe abortion and postabortion care - an overview
RASCH, V. (2011) · Acta Obstetricia et Gynecologica Scandinavica · doi:10.1111/j.1600-0412.2011.01165.x · Cited by 94 · see citing works
- Authors
- Nwogu-Ikojo, E. E., & Ezegwui, H. U.
- Affiliations
- University of Nigeria Teaching Hospital (NG)
- Corresponding author
- Nwogu-Ikojo, E. E.
- Venue
- Journal of Obstetrics and Gynaecology
- Publisher
- Informa UK Limited
- Published
- 2007-01
- Volume
- 27
- Issue
- 8
- Pages
- 835-837
- ISSN
- 0144-3615 (ISSN-L)
- 1364-6893
- OpenAlex
- W2007922670
- Cited by
- 19
- References
- 1
- Citations by year
- 2023: 1 · 2020: 1 · 2019: 2 · 2016: 2 · 2015: 3 · 2014: 3 · 2013: 2 · 2012: 1
- FWCI
- 0.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Obstetrics and Gynaecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
- Keywords
- abortion-related mortality, abortion, unsafe abortion, maternal mortality, sepsis, hemorrhage, family planning access, reproductive health services, tertiary care hospital
- MeSH terms
- Abortion, Induced, Adolescent, Adult, Female, Gestational Age, Humans, Maternal Mortality, Nigeria, Pregnancy, Uterine Hemorrhage, Sepsis
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