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Spontaneous abortions (miscarriages): analysis of cases at a tertiary center in North Central Nigeria
Adeniran, Abiodun S; Fawole, Adegboyega A; Abdul, Ishaq F; Adesina, Kikelomo T.
  • Adeniran, Abiodun S; s.af
  • Fawole, Adegboyega A; s.af
  • Abdul, Ishaq F; s.af
  • Adesina, Kikelomo T; s.af
J. Med. Trop ; 17(1): 22-26, 2015. tab
Article in English | AIM | ID: biblio-1263158
Responsible library: CG1.1
ABSTRACT

Background:

Spontaneous abortion (miscarriage) is a source of pregnancy loss globally. Its management; especially in low resource countries remains hampered by inadequate facilities for evaluation.

Objectives:

To assess the clinical presentation; diagnosis; and treatment of cases of spontaneous abortion at a tertiary hospital in Ilorin; Nigeria.

Methodology:

A descriptive study of all spontaneous abortions (miscarriages) managed at the University of Ilorin Teaching Hospital; Ilorin; Nigeria between January 1; 2007 and December 31; 2011. The records were retrieved from the medical records department and necessary information retrieved.

Results:

There were 603 miscarriages with a prevalence of 4.2; incomplete miscarriage was the most common 254 (42.1); 356 (59.0) had no identifiable risk factor; 434 (72) of the women were 35 years; 361 (59.9) had first trimester miscarriages; 272 (45.1) were of low parity (Para 0-1) and 223 (37) were having a repeat miscarriage. Of the 141 managed for threatened miscarriage; pregnancy was salvaged in 90 (63.8); 244 (40.5) had surgical evacuation with 100 success rate while 218 (36.2) had medical management with 90.8 success rate. The mean duration of admission was shortest with surgical management (2.03 ? 1.1 days) and post-abortion infection rate was 11 (2.6 success rate. The mean duration of admission was shortest with surgical management (2.03 ? 1.1 days) and post-abortion infection rate was 11 (2.6). Histology confirmed product of conception in 98 and molar gestation in 2 of the samples; no mortality was recorded in this study.

Conclusion:

More than half of women with miscarriages had no identifiable risk factors mainly due to limitation in facilities for evaluation; there is a need to improve facilities for investigating women with spontaneous abortions in developing countries to identify the causes of the losses
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Index: AIM (Africa) Main subject: Abortion, Spontaneous / Tertiary Care Centers / Nigeria Type of study: Prognostic study / Risk factors Country/Region as subject: Africa Language: English Journal: J. Med. Trop Year: 2015 Type: Article

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Index: AIM (Africa) Main subject: Abortion, Spontaneous / Tertiary Care Centers / Nigeria Type of study: Prognostic study / Risk factors Country/Region as subject: Africa Language: English Journal: J. Med. Trop Year: 2015 Type: Article