The Pattern of Gynaecological Mortality in A Nigerian Sub-Rural Population
DOI:
https://doi.org/10.14205/2309-4400.2014.02.02.3Keywords:
Genital cancers, mortality, diseases, gynaecology.Abstract
This was a retrospective analysis of the pattern of gynaecological mortalities in Irrua Specialist Teaching Hospital (ISTH) Irrua, Edo State. The numbers of case notes retrieved were 60 (91%) out of 66 case notes. The total Gynaecological admission was 3,154. Gynaecological mortalities accounted for 2.1% of the total deaths of patient on admission from gynaecological diseases over the study period. Gynaecological malignancies (76.7%) accounted for majority of the deaths. This was, mainly contributed by cervical and ovarian cancers 33% and 23.3% respectively, while choriocarcinoma accounted for 6.7% of the deaths. Post abortal complications contributed significant proportion of the total deaths. The highest proportion of deaths, 26.7%, occurred in the age group 20-29 years, while 45% of the death occurred in patients below 40 years. Majority, 65.6% of the patients attained secondary or tertiary levels of education.
References
United National Millennium Declaration. Millennium Development Goals. Available at: www.developmentgoals. org
Oluwole Akande. Reproductive and sexual health and rights. In Archives of Ibadan Medicine 2002; 3(1); pp. 1-4.
Unuigbe JA, Oronsaye Au, Orhue AAE. Abortion related morbidity and mortality in Benin City, Nigeria 1973-1985 Int J. Gynaecol. Obstet 1988; 26 (3): 435-439. http://dx.doi.org/10.1016/0020-7292(88)90342-6
Obi, et al. Gynaecological in-patient audit in a Nigeria tertiary health instittution. Journal of College of Medicine 2004; 9(2): 116-118.
Omu A.E Oronsaye Au, Faal MKB, Asuguo EEJ. Adolescent induced abortion in Benin City, Nigeria. Int J Gynaecol Obstet 1981; 19: 495-499. http://dx.doi.org/10.1016/0020-7292(81)90011-4
Oronsaye AU, Ogbeide O, Unuigbe E. Pregnancy among school girls in Nigeria. Int J. Gynaecol Obstet 1982; 20: 409- 412. http://dx.doi.org/10.1016/0020-7292(82)90201-6
Briggs ND. Adolescent Sexuality in an African Country. Paper presented at 13th world congress of Gynaecology and Obstetrics (FIGO) Singapore, 1991.
Van Coeverden de Groot HA. Death in gynaecological wards in Groote Schuur Hospital, Cape Town, 1957-1997. South Africa Medical Journal 1979; 56: 553-7.
Traci L Baird, Catherine Plewman, Rekiya Booth Ayo M. Tubai. Christian Hospital in Nigeria post abortion care and STD management. Dialogue Pas 1997; 2.
Lamina MA, Odusoga OI. Pattern and outcome of gynaecological admission at Nigeria Tertiary care centre. Tropical Journal of Obstesterics and Gynaecolog 2005.
Kwame-Aryee R. Cacinoma of the Cervix. In comprehensive Gynaecology in the tropics (Ed)E yao Kwawukume, E. Ejiro Emureyan Graphic Packing Limited 2005; 412-428.
Hain Gabra. Epithehal Ovarian Cancer. In Dewhurst Text Book of Obstetrics and Gynaecology, 7th Edition, D. Keith Emonds. Blackwell publishing 2007; 625-635.
Briggs ND. Epidemiology of Unsafe abortion. A paper presented at a seminar for prevention of morbidity and mortality from induced and unsafe abortion in Nigeria. Proceedings of a Seminar organised by the Department of Obstetrics Gynaecology and Perinatology. Obafemi Awolowo University Ile-Ife (Nigeria) 1991.
Kwast BE et al. Maternal Mortality in Adis Ababa, Ethiopia, Stud Fem Planning 1986; 17(6): 288-301. http://dx.doi.org/10.2307/1966906
Nusrat S, Nazlitt, Rizwana S, Ayesha H, Rehma G, Nugrate H. Socio demographic characteristics and the three delays of maternal mortality. Journal of the College of Physician and Surgeons Pakistan 2009; 19(2): 95-98.
Mahmood I Shafi. Premalignant and malignant diseases of the cervix. In Dewhurst Text Book of Obstetrics and Gynaecology (Ed) Keith Edmonds, Blackwell Publishing, 2007; 614-624.
Phillips Savage and Micheal Secki, Trophoblastic diseases in Dewhursts text Book on Obstetrics and Gynaecology (Ed) Keith Edmonds, Blackwell Publishing, 2007; 117-124. http://dx.doi.org/10.1002/9780470753354
Olapade FE, Lawayin TO. Maternal Mortality in Nigeria maternity hospital. African Journal of Biomedical Research 2008; 11: 267-273.
Ugwu VEO, Iferikigwe ES, Okeke TC, Ugwu AO, Okezie OA, Agu PU. Pattern of gynaecological cancers in the University of Nigeria Teaching Hospital, Enugu, South East Nigeria. Niger J Med 2011; 20: 266-269.
Okeke T, Onah N, Ikeakor L, Ezenyeaku C. The frequency and pattern of female genital tract malignancies at the University of Nigeria Teaching Hospital, Enugu, Nigeria. Ann Med Health Sci Res 2013; 3: 345-348. http://dx.doi.org/10.4103/2141-9248.117938
Anya SE, Ezugwu FO, Okaro JM. Gynaecologic mortality in Enugu, Nigeria. Trop Doct. 2006; 36: 235-236. http://dx.doi.org/10.1258/004947506778604652
