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Tropical Journal of Obstetrics and Gynaecology

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Trends in the Pattern of Induced Abortions in Ilorin

NA Adeleke, WO Olatinwo

Abstract


Context: Induced abortion remains a major cause of maternal mortality in developing countries. Reports from Nigeria put it's contribution to maternal death at between 15-40%. Prevention of maternal mortality project (Which trys to eliminate hospital delay in the treatment of complication of induced
abortion) was introduced in Ilorin over a decade ago. There is need to review it's impact on mortality from induced abortion.
Objectives: To determines Social-demographic factors associated with induced abortion complications. To determines mortality patern from induced abortion in Ilorin.
Study Design: A descriptive retrospective study. Date was generated from case notes of patients treated for complications from induced abortion in a teaching hospital in Nigeria, to identify socialdemographic factors associated with induced abortion.
Outcome measure: Maternal death, specific complications. Prevalence of induced abortion.
Results: Induced abortion accounted for 3.28 percent of gynecological admission. Case fatality rate is 61.0 per 1000. Multiple complications is common, Age group 24 years and below accounted for 73.05%. Causes of death are hemorrhage and septicemia.
Conclusion: Mortality from induced abortion has not changed significantly despite the implementation of prevention of maternal mortality project in Ilorin. There is need to redefine intervention strategy. Effort to increase contraceptive use especially by single women will reduced unwanted pregnancy and by extension induced abortion with its attendant complications.
Key words: Induced Abortion, Maternal Mortality, Trend.



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