Pattern of Gynecological Emergencies Seen at the Lagos State University Teaching Hospital: A 3-Years Retrospective Study

This retrospective study analyzed all gynecological emergencies seen at LASUTH from April 2018 to July 2021.Data were extracted using a structured proforma from patient case folders in the gynecological emergency department during the specified period.The data were analyzed using the Statistical Package for the Social Sciences (SPSS) version 22, and leading gynecological emergencies were categorized by analogous sociodemographic characteristics.The Chi-square test was used to assess significance for categorical variables, while the independent sample T-test compared means.A p-value of <0.05 was considered statistically significant.A total of 1,820 gynecological consultations were recorded during the study period, of which 608 were gynecological emergencies, representing a prevalence rate of 33.4%.The highest prevalence (27.6%) was observed in the 31-40 age group.Ten different types of gynecological emergencies were identified, with symptomatic uterine fibroids leading at 18.75%.Menorrhagia was the most common presentation, particularly among women aged 41 to 50.Bleeding gynecological malignancies accounted for 14.52%, ectopic pregnancies 13.96%, and miscarriages 10.83% of the emergencies.Cases of sexual assault constituted 9.79%, with 63.83% occurring in individuals under 20 years.Pelvic abscesses were the least common, accounting for 3.33%.The mortality rate from gynecological emergencies was 3.125%, with 15 deaths recorded.The most common cause of death was bleeding from advanced gynecological malignancies, with advanced cervical cancer responsible for 46.7% of the mortalities.