{
    "abstract": "In the 18-month period between February 1983 and July 1984, 102 cases of septic induced abortion were seen at the University of Ilorin Teaching Hospital in Nigeria, comprising 12% of total abortions. 67% of septic induced abortion patients were 11-20 years of age and 76% were nulliparae. 58% were secondary school students. The most common presenting symptoms were lower abdominal pain, fever, and foul-smelling, bloody vaginal discharge. 85% of these women claimed to have no knowledge of family planning, and only 4% had ever used a contraceptive method. 81% of septic induced abortion patients acknowledged interference with their pregnancy; 76% reported previous induced abortions. The mortality rate among these 102 women was 5.9%. 81 patients (79%) developed pelvic peritonitis, while the remaining 21 (21%) had generalized peritonitis as well. Of the 6 deaths in this group, 5 were attributable to septic shock and 1 was due to respiratory arrest following severe tetanus. Complications--including pelvic abscess, generalized peritonitis, cervical lacerations, uterine perforation, an vaginal lacerations--were managed through surgery and antibiotic treatment. Mixed enterococci and Escherictria coli were the organisms most frequently isolated from pus and cervical cultures. Septic induced abortion accounted for 5% of all gynecologic emergency admissions in this hospital. This serious medical condition can be avoided if family planning education is freely offered and abortion laws are liberalized.",
    "authors": [
        {
            "affiliation": null,
            "firstname": "O O",
            "initials": "OO",
            "lastname": "Adetoro"
        }
    ],
    "conclusions": null,
    "copyrights": null,
    "doi": "10.1111/j.1447-0756.1986.tb00179.x",
    "journal": "Asia-Oceania journal of obstetrics and gynaecology",
    "keywords": [
        "Abortion Law",
        "Abortion, Illegal--complications",
        "Abortion, Induced",
        "Abortion, Septic",
        "Adolescents",
        "Adolescents, Female",
        "Africa",
        "Africa South Of The Sahara",
        "Age Factors",
        "Data Analysis",
        "Demographic Factors",
        "Developing Countries",
        "Diseases",
        "Education",
        "English Speaking Africa",
        "Family Planning",
        "Family Planning Education",
        "Fertility Control, Postconception",
        "Health Education",
        "Iec",
        "Legislation",
        "Maternal Mortality--indications",
        "Mortality",
        "Nigeria",
        "Political Factors",
        "Population",
        "Population Characteristics",
        "Population Dynamics",
        "Pregnancy Complications",
        "Research Methodology",
        "Western Africa",
        "Youth"
    ],
    "methods": null,
    "publication_date": "1986-06-01",
    "pubmed_id": "3533017",
    "results": null,
    "title": "Septic induced abortion at Ilorin, Nigeria: an increasing gynaecological problem in the developing countries.",
    "xml": "<Element 'PubmedArticle' at 0x788502bab1f0>"
}