Spontaneous abortions (miscarriages): analysis of cases at a tertiary center in North Central Nigeria
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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