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Year : 2019  |  Volume : 36  |  Issue : 3  |  Page : 367-372

Five-year review of cases of miscarriage in a tertiary hospital in Abakaliki, South East, Nigeria

1 Department of Obstetrics and Gynecology, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria, India
2 Department of Obstetrics and Gynecology, Federal Medical Centre Owerri, Owerri, Imo State, Nigeria
3 Department of Surgery, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria, India

Correspondence Address:
Dr. C C Anikwe
Department of Obstetrics and Gynecology, Federal Teaching Hospital Abakaliki, P.M.B 102 Abakaliki, Ebonyi State, West Africa
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/TJOG.TJOG_38_19

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Background: Abortion complication is a major contributor to maternal morbidity and mortality. Objective: To review the profile of cases of abortion in Federal Teaching Hospital, Abakaliki (FETHA). Materials and Methods: This was a retrospective review of all cases of abortion managed in the Department of Obstetrics and Gynecology of FETHA between January 1st, 2013 and 31st, December 2017. Results: During the period, 3528 gynecological emergencies were recorded. Abortion represented 45.5% (1604) of all gynecological admission. The mean age of the women was 28.4 ± 6.4 years. All the pregnancies were unbooked and majority of abortion occurred between the gestational age of 8–12 weeks. More than half (58.8%) of the women had secondary education. Unsafe induced abortions were 547 (34.1%). Bleeding per vaginam (741, 46.2%) was the commonest symptom at presentation; majority had incomplete abortion. Interventions offered include manual vacuum aspiration (1319, 82.2%) and dilatation and curettage (157, 9.8%). Less than ten percent had laparotomy for pelvic abscess. Infectious morbidities were seen in 145 patients. Abortion complication constituted 11.5% of all maternal death during this period. Conclusion: The study shows that abortion is one of the common gynecological emergencies recorded in the hospital. Provision and use of contraceptives by sexually active women will help to reduce the rate of unsafe abortions seen in our study. The morbidity and mortality associated with abortion can also be reduced by early presentation of the patients to the hospital with accurate diagnosis and prompt management.

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