Health
Poorly managed miscarriage may cause infertility, gynaecologists warn
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By Francesca Hangeior.
Citing various complications associated with poorly managed miscarriages, maternal health experts have warned women to avoid visiting untrained and unskilled health practitioners for treatment whenever they experience the condition.
The gynaecologists stressed the need for pregnant women who had a miscarriage to visit health facilities with maternal health specialists for appropriate treatment.
Miscarriage, the loss of a pregnancy before 20 weeks, is a common event that occurs in an estimated 15 per cent of all pregnancies, according to the American College of Obstetricians and Gynaecologists.
They noted that visiting a gynaecologist for the management of a miscarriage was crucial to ensuring proper treatment and evacuation of the foetus as well as to prevent the risk of complications and infections, which could lead to secondary infertility or even death.
The experts warned that poorly managed miscarriage has been identified as one of the causes of infertility in women.
According to the Nigeria Demographic and Health Survey 2018, the country still records a maternal mortality ratio of 512 per 100,000 live births, which is a far cry from achieving the Sustainable Development Goal target of less than 70 per 100,000 live births.
However, a Consultant Obstetrician and Gynaecologist at the Family Health Department, Federal Ministry of Health, Abuja, Dr. Kamil Shoretire, said stated that miscarriage can profoundly affect the health and well-being of the mother, either from the complications of the process itself or from the complications arising from the treatment and management of the condition.
For those who survive a dangerous miscarriage, the gynaecologist says, there can be untold complications afterwards, including infertility.
Shoretire said, “It is always good for women who have miscarriages to go to the hospital where the experts are and they will be well taken care of.
“Apart from treating them, the experts will also counsel them. “They will tell them the possible causes of the miscarriage and what to do in preparation for the next pregnancy.”
The gynaecologist noted that by going to the hospital, the women would be well-educated and enlightened to know about the condition itself
“A woman that has a miscarriage cannot assess herself. So, the right thing for her to do is to go to the hospital.
“Some women will not know that they have things like diabetes. It is only at such a time that they have a miscarriage that it will be detected.
“So, it is always good for women who have miscarriages to go to the hospital where the experts are and they will be well taken care of.”
He also warned that poorly managed miscarriage could lead to an infection that might cause severe damage to the womb.
In a 2019 article published in PMC journal, titled, ‘Causes and Prevalence of Factors Causing Infertility in a Public Health Facility’, the authors said infertility affects roughly 10 per cent of the world’s population. The authors noted that the problem of infertility has become universal now, and thus, understanding the causes is the first step in solving this issue.
“In the population coming to a public sector tertiary care centre, the incidence of primary infertility is more than secondary infertility.
“Increasing age of marriage influences the causes with unexplained infertility and male factors more commonly seen as the age of marriage increases. Female factor remains the main cause of infertility followed by unexplained causes. Male factor is a significant cause of infertility with semen parameters being affected by age and by consumption of tobacco and alcohol”, the authors said.
Speaking in the same vein, an Associate Professor and Consultant Obstetrician and Gynaecologist at the University of Nigeria Teaching Hospital, Ituku/Ozalla, Enugu State, Dr. Uche Agu, urged women who have fibroid to stop patronizing quacks and traditional homes for treatment to avoid exposing themselves to the risk of infertility.
Warning against the dangers of seeking help in unorthodox places and taking local concoctions, the gynaecologist said, “The problem with fibroid comes from people who are not experienced.
“They could injure the lining of the womb and the woman may not see her menses again. They may have complications. Those who have their tubes inadvertently removed may not be pregnant again.
“Some will even take those local concoctions and will never see their menses again. Some may take the concoction and it will knock off their ovaries and they will never see their menses.
“Some of the local concoctions get the fibroid matted together and by the time they come for surgery, it becomes difficult to operate. I have seen cases like that.”
Health
Bitter kola, salt water not Ebola cure, NCDC warns
The Nigeria Centre for Disease Control and Prevention has warned Nigerians against relying on unverified home remedies for Ebola Virus Disease, stressing that substances such as bitter kola, salt water, herbs, and seasoning cubes cannot prevent or cure the deadly infection.
The agency issued the warning in a public advisory obtained by our correspondent, titled “Ebola Virus Disease (EVD): Myths vs Facts,” amid growing concerns and online rumours linked to a regional Ebola outbreak.
According to the NCDC, Nigeria has not recorded any confirmed case of Ebola, but misinformation surrounding fake cures could create panic and endanger lives.
“There is currently no approved home remedy for Ebola Virus Disease,” the agency stated.
It added: “Early reporting, supportive medical care, and strict infection prevention and control measures are critical. Avoid self-medication and seek care promptly if symptoms develop.”
The agency specifically debunked widespread claims circulating on social media suggesting that “drinking salt water, consuming bitter kola, or using herbal mixtures could protect people from Ebola infection.”
Public health experts have repeatedly warned that reliance on unproven remedies during disease outbreaks often delays proper treatment and increases the risk of transmission.
The NCDC also cautioned Nigerians against spreading unverified health information online, noting that false claims could undermine public health response efforts.
“Sharing unverified information can create panic and confusion. Members of the public are advised to rely only on updates from official public health authorities and credible sources,” the advisory said.
The agency urged Nigerians to remain vigilant despite the absence of any confirmed Ebola case in the country.
“Although no case has been confirmed in Nigeria, outbreaks in the region require vigilance, preparedness, and responsible public health behaviour to reduce the risk of importation and transmission,” it stated.
The warning has revived memories of Nigeria’s 2014 Ebola outbreak, when rumours about salt-water baths and bitter kola consumption flooded communities after the virus entered the country through an infected traveller from Liberia.
At the time, health authorities dismissed the claims after reports emerged that some Nigerians consumed excessive amounts of salt water in desperate attempts to avoid infection, leading to health complications in some cases.
Nigeria was eventually lauded globally for successfully containing the 2014 Ebola outbreak through aggressive contact tracing, rapid isolation of suspected cases, public awareness campaigns, and coordinated emergency response measures.
In its latest advisory, the NCDC urged Nigerians to prioritise preventive measures such as regular hand hygiene, avoiding contact with bodily fluids of sick persons, and promptly reporting unusual illnesses to health authorities.
The agency also reassured the public that surveillance and preparedness activities were ongoing across the country to prevent any possible outbreak.
Health
Ebola outbreak will get worse as cases rise in DRC, Uganda – WHO
The World Health Organisation, WHO, on Monday raised fresh alarm over the rapidly spreading Bundibugyo Ebola outbreak in the Democratic Republic of Congo, DRC, and neighbouring Uganda, warning that the epidemic is outpacing response efforts and could worsen in the coming weeks.
Speaking at a virtual ministerial briefing convened by the Africa Centres for Disease Control and Prevention, WHO Director-General Tedros Ghebreyesus described the outbreak as extremely serious and difficult, revealing that more than 900 suspected cases and 220 suspected deaths have already been recorded in DRC.
“So far, 101 cases have been confirmed in DRC, with 10 confirmed deaths. But we know the epidemic in DRC is much larger. In the early hours of Sunday, May 17, I declared the Ebola outbreak in DRC a Public Health Emergency of International Concern after consulting the Ministers of Health of both DRC and Uganda, and following Africa CDC’s notification,” Tedros said.
He disclosed that WHO had upgraded the national risk assessment in DRC from “high” to “very high,” while maintaining regional risk at “high.”
Countries bordering DRC, he warned, are particularly vulnerable and must take immediate preventive action.
“In Uganda, there are five confirmed cases and one death,” he said, commending President Yoweri Museveni for cancelling this year’s Martyrs’ Day celebrations, an annual religious event that attracts nearly two million people.
“I appreciate the leadership of President Museveni in cancelling the Martyrs’ Day commemoration to prevent further spread of the virus,” he added.
Tedros noted that insecurity and public distrust in eastern DRC are worsening the crisis.
“The delay in detecting the outbreak means that we are now playing catch-up with a very fast-moving epidemic. We are urgently scaling up operations, but at the moment, the epidemic is outpacing us.”
According to him, intensified fighting in the provinces of Ituri and North Kivu has displaced more than 100,000 people in recent months, complicating surveillance and response operations.
“There is also significant distrust of outside authorities among the local population. In the past week, there have been two security incidents at health facilities,” he stated.
“Building trust in affected communities is critical to a successful response and is one of our highest priorities.”
The WHO chief further disclosed that there are currently no approved vaccines or therapeutics specifically for the Bundibugyo strain of Ebola, which has only caused two previous outbreaks — in Uganda in 2007 and DRC in 2012.
“Last week, WHO convened leaders of several partner organisations to review the pipeline of vaccines, therapeutics and diagnostics,” he said.
“WHO has recommended prioritising two monoclonal antibodies to advance in clinical trials. We are also recommending evaluation of the antiviral obeldesivir in a clinical trial as post-exposure prophylaxis for high-risk contacts.”
He added that the clinical trial is being jointly developed with Africa CDC and the Collaborative Open Research Consortium on Filoviruses.
Tedros said WHO had already released $3.9 million from its Contingency Fund for Emergencies to support response efforts and announced plans to travel to DRC alongside Chikwe Ihekweazu.
He stressed that unity among African nations and international partners would determine how quickly the outbreak could be contained.
“We are facing an extremely serious and difficult outbreak. It will get worse before it gets better. But we know this virus, and we know how to stop it. We have stopped every previous Ebola outbreak, and we will stop this one too.
“The question is just how quickly we can do it, and how many more lives will be lost before we do,” he said.
Health
Ebola: WHO releases additional $3.4m as death toll rises to 139
The World Health Organisation (WHO) has approved an additional $3.4 million to support emergency response efforts following the worsening Ebola outbreak in the Democratic Republic of the Congo (DRC) and Uganda, where suspected deaths have risen to 139.
WHO Director-General, Tedros Adhanom Ghebreyesus, announced on Wednesday during a media briefing in Geneva that the agency had declared the outbreak a Public Health Emergency of International Concern (PHEIC) amid growing fears of wider regional transmission.
Tedros said the declaration was made on Sunday under Article 12 of the International Health Regulations after consultations with health authorities in the DRC and Uganda, citing the need for urgent international action.
According to WHO, 51 Ebola cases have so far been confirmed in the DRC, particularly in the provinces of Ituri and North Kivu, including the cities of Bunia and Goma, while Uganda has recorded two confirmed cases in Kampala, including one death linked to travellers from the DRC.
The agency also confirmed that an American national who contracted the virus in the DRC had been transferred to Germany for treatment.
Tedros, however, warned that the outbreak was far more severe than confirmed figures indicate, with nearly 600 suspected cases and 139 suspected deaths already reported.
He said the outbreak had spread to several urban centres, while infections among health workers pointed to transmission within healthcare facilities.
The WHO chief identified insecurity, mass displacement and intense population movement in mining communities within eastern DRC as major factors heightening the risk of regional spread.
He noted that over 100,000 people had been displaced in Ituri Province following escalating violence since late 2025.
Tedros also expressed concern that the outbreak involves the Bundibugyo strain of Ebola, for which no approved vaccines or therapeutics currently exist.
“In light of all these risks, I decided it was urgent to act immediately to prevent more deaths and mobilise an effective international response,” he said.
He commended the governments of the DRC and Uganda for their cooperation, particularly Uganda’s decision to postpone the annual Martyrs’ Day celebrations, which typically attract millions of participants.
WHO said the additional $3.4 million approved from its Contingency Fund for Emergencies brings the organisation’s total emergency support funding for the outbreak to $3.9 million.
The agency added that response teams, medical supplies and emergency support personnel had already been deployed to affected areas as efforts intensify to contain the virus.
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