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首页> 外文期刊>Journal of obstetrics and gynaecology: the journal of the Institute of Obstetrics and Gynaecology >Complicated unsafe abortion in a Nigerian teaching hospital: pattern of morbidity and mortality
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Complicated unsafe abortion in a Nigerian teaching hospital: pattern of morbidity and mortality

机译：尼日利亚教学医院复杂的不安全堕胎：发病率和死亡率的模式

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摘要

Addressing unsafe abortion in developing countries may propel a rapid decline in overall maternal death. A retrospective review of patients with complicated unsafe abortion was conducted in a Nigerian Tertiary Hospital. In order to provide evidence that may inform policy changes, we describe patients' clinical profiles, abortion providers, and morbidity and mortality patterns. Of 3122 gynaecological admissions, 231 (7.4%) had unsafe abortion-related complications. The majority (53.2%) of admissions were between 16 and 25 years. Single women constituted 51% while 57% were nulliparous. Common presentations were abdominal pain (62%), fever (54%) and vaginal bleeding (53%). The most frequent complications were anaemia (55%) and retained products of conception (47%). Doctors reportedly performed 42% of abortions. There were 392 maternal mortalities; 39 (9.9%) from unsafe abortions and sepsis was responsible in 31 (80%) patients. Abortion remains a major public health issue. Youths are mostly involved. Doctors were reportedly the highest abortion providers. Mortality is high, occurring mostly from sepsis.
机译：在发展中国家的不安全堕胎可以推动整体孕产妇死亡的快速下降。在尼日利亚第三大学医院进行了对复杂不安全堕胎的患者的回顾性评论。为了提供可能会通知政策变化的证据，我们描述患者的临床概况，堕胎提供者和发病率和死亡率模式。 3122个妇科入学，231名（7.4％）具有不安全的堕胎相关的并发症。大多数（53.2％）的入学率为16至25岁。单身女性构成51％，而57％是无污染的。常见的演示文稿是腹痛（62％），发热（54％）和阴道出血（53％）。最常见的并发症是贫血（55％）和保留的概念产品（47％）。据报道，医生表演了42％的堕胎。有392个孕产妇死亡; 39（9.9％）来自不安全的堕胎和败血症在31例（80％）患者中负责。堕胎仍然是一个主要的公共卫生问题。青少年主要涉及。据报道，医生是最高的堕胎提供者。死亡率很高，主要发生来自败血症。

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