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Year : 2004  |  Volume : 7  |  Issue : 3  |  Page : 95-97

The management challenges of the complications of illegally induced abortions in benin-city, Nigeria

1 Departments of Obstetrics and Gynaecology, University of Benin Teaching Hospital, Benin City, Nigeria
2 Departments of Community Health. University of Benin Teaching Hospital, Benin City, Nigeria

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A E Ehigiegba
Departments of Obstetrics and Gynaecology, University of Benin Teaching Hospital, P.M.B., Benin City
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Unsafe , induced abortion is one of the t h ree ma jor causes of maternal mortality in Nigeria. Important surgical complications of unsafe induced abortions include post -surgical sepsis and haemorrhage due to trauma to the uterus , cervix and int estines. This study examined the case records of patients with induced abortion requiring major surgical intervention to manage the complications during a five-year period at the University of Benin Teaching Hospital , Benin City, Nigeria . The result s show that the most f requent surgical intervention was drainage of pelvic abscess in 38% of the pat ients . About 30% of' the patie nts ended up with severe structural damage to the pel vic organs, especially the uterus , with severe implication for the future fertility of these patient s . This high risk of infection and significant structural damage is ascribed to the illegal status of abortion in Nigeria . The challenges that these surgical complications pose to the gynaecologist are discussed . .The l)e d to adequatel y e quip and train clinicians to recognise and aggressively manage these complications is also .disc ussed.

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