Base de dados :. Experience with misoprostol in the management of missed abortion in the second trimester. J Obstet Gynaecol ;25 6 , Aug. Methods: This was a cross sectional descriptive study involving proprietors, pharmacists or vendors of pharmaceutical and patent medicine outlets in two Nigerian cosmopolitan cities, Lagos and Abuja.
They were interviewed using a semi-structured questionnaire in May and June in Abuja and Lagos respectively. Result: Misoprostol was not well-known or widely available in either city.
When pharmacists and drug sellers who stocked misoprostol were asked what it was recommended for, treatment or prevention of postpartum hemorrhage was not mentioned. But in a medical and pharmaceutical market as messy and unregulated as Nigeria's, a side effect is that this drug intended for use by doctors to complete a half-done abortion is also now available for women to buy and use on their own. The drug is not marketed directly to women, so awareness spreads by word of mouth, "because abortion is not legal, no one talks about it," Boustred said, "There's a rumor of a drug, but no one knows about it, no one is going to ask, so there's a black market for the drug.
There are a lot of fake drugs on the market. And one of the problems with fake drugs is that people don't know which medicines are legitimate, and so, accustomed to weak or ineffective drugs, some people take excessive doses to try to make sure the drug actually works. In Mexico, where misoprostol is widely available in the informal market, 39 percent of misoprostol users had complications, according to a Guttmacher study, largely due to taking the wrong dose.
It can seem a bit scary to imagine women buying and taking pills that induce abortion without medical guidance. Pharmacists sometimes advise on the correct use of the drug, but one pharmacist advised a customer to just read the insert, a problematic suggestion, as misoprostol's official use is for ulcers or postpartum hemorrhage, not abortion.
Globally, some women's health advocates have pushed for more direct access to misoprostol to give women more power over their bodies. And many consider misoprostol an improvement over other gruesome ways women self-induce abortions from "sticking very sharp objects in the cervix — spoke of a bicycle, a cassava stem that has been sharpened," Ejike Oji of Ipas recounted or by taking poisonous substances or going to unskilled providers who perforate the uterus.
It can be concluded that, in this study, severe complications, including infectious morbidity, are more likely to occur with surgical abortions than with misoprostol, and that misoprostol use has increased in recent years.
It may be cautiously implied that misoprostol may be a safer method for abortion induction than traditional methods of abortion and surgical evacuation obtained in an illegal context. Its use for legally indicated abortion should be encouraged. Browse Subject Areas? Click through the PLOS taxonomy to find articles in your field. Abstract Objective The study aimed to assess the use of misoprostol and complications associated with abortions in referral hospitals in Nigeria, a country with restrictive abortion laws.
Methods A cross-sectional study at nine referral hospitals in South-west Nigeria. Results There were induced abortions amongst 2, abortions found in records.
Conclusion Misoprostol abortion has significantly increased over time, and was associated with less morbidity and need for further treatment, in this study.
Rationale Post-abortion care is expensive; it has been shown to cost six times more than the procedure done for a voluntary termination of pregnancy [ 14 ]. Objective This study aimed to determine the types of complications arising from unsafe abortion in Nigeria, the trend in the use of misoprostol for induced abortion, and the relationship between the community use of misoprostol and the complications recorded.
Materials and methods This was a cross-sectional study carried out at nine selected secondary and tertiary hospitals which offer post-abortion care in South-West Nigeria. Results There were 2, cases of abortions during the period of review. Download: PPT. Table 3. Comparison of clinical features and complications of abortions with misoprostol use to other methods, and specifically to surgical abortions.
Table 4. Hospital interventions required following misoprostol use versus other methods, and specifically surgical abortions. Discussion Almost three out of ten women managed for abortion at nine of the hospitals in south-west Nigeria had induced abortions.
Supporting information. S1 Appendix. Data collection instrument. Acknowledgments The authors wish to thank the research assistants and data managers who worked on this project. References 1. Nigeria Demographic and Health Survey Koster W. Linking two opposites of pregnancy loss: Induced abortion and infertility in Yoruba society, Nigeria.
Soc Sci Med. Contraceptive practice, unwanted pregnancies and induced abortion in Southwest Nigeria. Glob Public Health. World Health Organization The prevention and management of unsafe abortion. Report of a Technical Working Group The Incidence of abortion in Nigeria. Int Perspect Sex Reprod Health. Attitudes towards abortion law reforms in Nigeria and factors influencing its social acceptance among female undergraduates in a Nigerian university. Afr J Med Med Sci.
Lamina MA.
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