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

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dc.contributor.authorAdeniran, Abiodun
dc.contributor.authorFawole, Adegboyega
dc.contributor.authorAbdul, Ishaq
dc.contributor.authorAdesina, Kikelomo
dc.date.accessioned2019-11-15T10:40:28Z
dc.date.available2019-11-15T10:40:28Z
dc.date.issued2015-01
dc.description.abstractBackground: 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%). 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.en_US
dc.description.sponsorshipNilen_US
dc.identifier.urihttp://hdl.handle.net/123456789/3453
dc.language.isoenen_US
dc.publisherFaculty of Medicine, University of Josen_US
dc.subjectMiscarriageen_US
dc.subjectOutcomeen_US
dc.subjectSpontaneous abortionen_US
dc.titleSpontaneous abortions (miscarriages): Analysis of cases at a tertiary center in North Central Nigeriaen_US
dc.typeArticleen_US

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