Complications of unsafe abortion: case reports and the need for curriculum review in Nigeria

Unsafe abortion remains a major reproductive health problem in Nigeria. These are 2 case reports of unsafe abortion, one performed by a patent medicine dealer where a false passage was created in the substance of thecervix to evacuate the uterus using a cannula. A piece of the cannula was left in situ for five years leading to chronic infection and infertility.The second case was performed by amedical practitioner for a second trimester abortion. He deliberately created a false passage in the substance of the cervix to evacuate the uterus leading to severe haemorrhage.We conclude that there is a need to reviewand improve the training ofmedical practitioners in termination of pregnancies to avoid unsafe abortion.Keywords: unsafe abortion, cervical injury

Contraceptive practice in a tertiary hospital in south-south Nigeria

Background: The high maternal and infant mortality in sub-Saharan Africa has been associated with unplanned pregnancy, high parity and short birth intervals. Use of effective contraceptive methodssignificantly reduce maternal and infant mortality and improved quality of life. This study determines the contraceptive practice among clients in a tertiary hospital. Method: The record cards of all clients that accepted contraceptive methods in the family planning clinic at the University of Uyo Teaching Hospital, Uyo over a 7-year period were reviewed. Results: There were 1094 new contraceptive acceptors during the study period. The modal age group of the clients was 25 – 34 years (59.3%); majority of the clients were multiparous (59.8%), christians (99.6%) and 71.0% had at least secondary school education. The most commonly accepted contraceptive methods were the intrauterine contraceptive device (45.0%) and oral contraceptive pills (28.1%), while clinic personnel (63.1%), and friends and relatives (20.1%) were the most common sources of information on contraception. Conclusion: Intrauterine contraceptive device and oral contraceptive pills were the most frequently accepted methods of contraception. We advocate increase in the contraceptive options including implants. The print and electronic media should be more involved in the awareness programs on contraception