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Clinical and Demographic Characteristics of Women with Intrauterine Adhesion in Abuja, Nigeria

Objective. Infertility menstrual abnormalities continue to constitute a significant bulk of gynecological consultation in Africa. Both of these problems are sometimes traced to intrauterine adhesions which are preventable in the majority of cases. Study Design. A retrospective analysis of intrauteri...

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Autores principales: Efetie, Efena R., Umezulike, Augustine C., Okafor, Ugochukwu V.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3236412/
https://www.ncbi.nlm.nih.gov/pubmed/22190953
http://dx.doi.org/10.1155/2012/435475
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author Efetie, Efena R.
Umezulike, Augustine C.
Okafor, Ugochukwu V.
author_facet Efetie, Efena R.
Umezulike, Augustine C.
Okafor, Ugochukwu V.
author_sort Efetie, Efena R.
collection PubMed
description Objective. Infertility menstrual abnormalities continue to constitute a significant bulk of gynecological consultation in Africa. Both of these problems are sometimes traced to intrauterine adhesions which are preventable in the majority of cases. Study Design. A retrospective analysis of intrauterine adhesions at the National Hospital Abuja, Nigeria, was carried out, covering the period from 1st September 1999 to 1st September 2004. A total of 72 cases were analyzed. Statical analysis was done using X (2). Results. The incidence of intrauterine adhesions was 1.73% of new patients. Mean age ± SD was 29.97 ± 4.82 years. Patients who were Para 0 to 1 constituted 81.9% of the total. Intrauterine adhesions significantly (P < 0.02) occurred in nulliparae. The majority (68%) were educated only up to secondary level which was significant (P < 0.05). Menstrual abnormalities were present in 90.3%. The commonest predisposing factor identified was a history of dilatation and curettage or uterine evacuation. Conclusion. Intrauterine adhesions are associated with lower educational status and low parity. Increasing educational targets nationally, poverty alleviation, nationwide retraining in manual vacuum aspiration, and wider application of this technique are recommended.
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spelling pubmed-32364122011-12-21 Clinical and Demographic Characteristics of Women with Intrauterine Adhesion in Abuja, Nigeria Efetie, Efena R. Umezulike, Augustine C. Okafor, Ugochukwu V. Obstet Gynecol Int Clinical Study Objective. Infertility menstrual abnormalities continue to constitute a significant bulk of gynecological consultation in Africa. Both of these problems are sometimes traced to intrauterine adhesions which are preventable in the majority of cases. Study Design. A retrospective analysis of intrauterine adhesions at the National Hospital Abuja, Nigeria, was carried out, covering the period from 1st September 1999 to 1st September 2004. A total of 72 cases were analyzed. Statical analysis was done using X (2). Results. The incidence of intrauterine adhesions was 1.73% of new patients. Mean age ± SD was 29.97 ± 4.82 years. Patients who were Para 0 to 1 constituted 81.9% of the total. Intrauterine adhesions significantly (P < 0.02) occurred in nulliparae. The majority (68%) were educated only up to secondary level which was significant (P < 0.05). Menstrual abnormalities were present in 90.3%. The commonest predisposing factor identified was a history of dilatation and curettage or uterine evacuation. Conclusion. Intrauterine adhesions are associated with lower educational status and low parity. Increasing educational targets nationally, poverty alleviation, nationwide retraining in manual vacuum aspiration, and wider application of this technique are recommended. Hindawi Publishing Corporation 2012 2011-12-01 /pmc/articles/PMC3236412/ /pubmed/22190953 http://dx.doi.org/10.1155/2012/435475 Text en Copyright © 2012 Efena R. Efetie et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Efetie, Efena R.
Umezulike, Augustine C.
Okafor, Ugochukwu V.
Clinical and Demographic Characteristics of Women with Intrauterine Adhesion in Abuja, Nigeria
title Clinical and Demographic Characteristics of Women with Intrauterine Adhesion in Abuja, Nigeria
title_full Clinical and Demographic Characteristics of Women with Intrauterine Adhesion in Abuja, Nigeria
title_fullStr Clinical and Demographic Characteristics of Women with Intrauterine Adhesion in Abuja, Nigeria
title_full_unstemmed Clinical and Demographic Characteristics of Women with Intrauterine Adhesion in Abuja, Nigeria
title_short Clinical and Demographic Characteristics of Women with Intrauterine Adhesion in Abuja, Nigeria
title_sort clinical and demographic characteristics of women with intrauterine adhesion in abuja, nigeria
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3236412/
https://www.ncbi.nlm.nih.gov/pubmed/22190953
http://dx.doi.org/10.1155/2012/435475
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