Socio-cultural factors in adolescent septic illicit abortions in Ilorin, Nigeria.
Afr J Med Med Sci
; 20(2): 149-53, 1991 Jun.
Article
em En
| MEDLINE
| ID: mdl-1908623
ABSTRACT
PIP: In 1987-1989, researchers interviewed 192 adolescents admitted to University of Ilorin Teaching Hospital (UITH) in Nigeria for septic illegal abortions to determine the sociocultural factors of septic illegal abortions among adolescents and the effects of these abortions on the population. The 2 major complications resulting in the patients being admitted to UITH were hemorrhage (42.2%) and septicemia (30.7%). The abortion rate at UITH stood at 94.6/1000 deliveries representing an increase. Adolescents made up 74.4% of all induced abortions which accounted for 60.3% of all gynecological admissions. Most patients (72.5%) were between 15-19 years old. Just 12.5% lived with both parents--an example of the break down of the family which traditionally prepared children for integration into adult society. 81.3% had a primary education, but only around 30% of parents had a primary education. School officials expelled 50% of the patients thereby making expulsion from school the leading social consequence of adolescent septic illegal abortion. Indeed neither the education system nor the family were prepared to teach family life education to prevent these unwanted pregnancies. In Nigeria, since abortion is considered immoral, the adolescents had little choice but to seek a clandestine abortion. Moreover, many adolescents were poor so they opted for free abortion services which were often provided by charlatans. A shift from a rural society to an urban society also contributed to an increase in abortions. The government must emphasize maternal and child health services, especially liberalization of abortion. Further, it must make family planning education and services available to adolescents. In addition, the mass media should be exploited to spread information about the adverse consequences of adolescent illegal abortions.
Palavras-chave
Abortion, Illegal; Abortion, Induced; Abortion, Septic; Adolescent Pregnancy; Adolescents; Adolescents, Female; Africa; Africa South Of The Sahara; Age Factors; Culture--changes; Data Collection; Demographic Factors; Developing Countries; Diseases; Economic Factors; Education; English Speaking Africa; Extended Family--changes; Family And Household; Family Characteristics; Family Planning; Family Planning Education; Fertility; Fertility Control, Postconception; Geographic Factors; Interviews; Kap Surveys; Methodological Studies; Needs; Nigeria; Obstacles; Organization And Administration; Population; Population Characteristics; Population Dynamics; Pregnancy Complications; Reproductive Behavior; Research Methodology; Sampling Studies; Social Change; Socioeconomic Factors; Spatial Distribution; Studies; Surveys; Urban Spatial Distribution; Urbanization; Western Africa; Youth
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Aborto Criminoso
/
Características Culturais
Tipo de estudo:
Qualitative_research
Aspecto:
Equity_inequality
Limite:
Adolescent
/
Female
/
Humans
País/Região como assunto:
Africa
Idioma:
En
Revista:
Afr J Med Med Sci
Ano de publicação:
1991
Tipo de documento:
Article
País de afiliação:
Nigéria