Complicated illegal induced abortions at a tertiary health institution in Nigeria

BACKGROUND AND OBJECTIVE Globally it is estimated that 26-53 million induced abortions occur annually. An estimated 20 million of these are unsafe especially in countries with restrictive abortion laws. Approximately 48% of all abortions worldwide were unsafe and more than 97% of these are in developing countries. Our objective was to find out complications of illegal induced abortions in a tertiary care institution. Methods : All cases of complicated induced abortion, seen over a 5 year period were reviewed. Relevant data relating to the socio-demographic profile of the patients, clinical presentation, abortion service providers and facilities and mode of termination of pregnancy were extracted. RESULTS One hundred and nineteen patients, constituting 3.4% of gynaecological admissions were studied. The mean age of the patients was 23.5±6.6 years with over 80% single. The mean gestational age at abortion was 12.8± 4.1 weeks. Incomplete abortion and postabortal sepsis formed the major indication for admission. About a fifth of the cases had abdominal visceral involvement. Twenty (18%) had laparotomy and 10(9%) had renal dialysis. Over 75% of patients were discharged in stable state. CONCLUSION This study highlights the pressing need for an organised program for reproductive health education especially for the adolescents and unmarried who were most affected by abortion complications. In addition training and continuing medical education for doctors favourably disposed to abortion services is highly indicated from this study.