Key result
An illegal induced abortion by dilatation and curettage in a 28-year-old woman resulted in uterine perforation and bowel injury requiring laparotomy and bowel resection.
Case Report (n=1)
Highlights the severe morbidity associated with unsafe induced abortions in settings with restrictive abortion laws.
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Highlights risks of unsafe abortion in restrictive settings; leaves open questions on scalable prevention strategies.
OBJECTIVES: Abortion in Nigeria is permitted only to save a woman's life. Most abortions in that country take place under unsafe conditions and constitute a major source of maternal morbidity and mortality. We present a case of multiple visceral injuries complicating an induced abortion. CASE: A 28-year-old multiparous woman at 12 weeks' gestation had an induced abortion by dilatation and curettage in a private clinic. The procedure was complicated by uterine perforation and bowel injury, with protrusion of gangrenous loops of bowel from the vagina. At laparotomy the uterus was repaired, and a bowel resection with re-anastomosis was performed. The patient's recovery was uneventful. CONCLUSIONS: Increasing the uptake of contraception, training healthcare providers in safe methods of induced abortion, and liberalising abortion laws can reduce abortion-related morbidity and mortality in Nigeria.
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Akaba et al. (2013) conducted a case report in Multiple visceral injuries complicating an induced abortion (n=1). Illegal induced abortion by dilatation and curettage was evaluated. An illegal induced abortion by dilatation and curettage in a 28-year-old woman resulted in uterine perforation and bowel injury requiring laparotomy and bowel resection.
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