Health
Poorly managed miscarriage may cause infertility, gynaecologists warn
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.”
In a bold move to tackle the growing shortage of medical professionals, Delta State Governor, Sheriff Oborevwori, has approved a significant salary increase for doctors across the state, alongside a new tax-free allowance for house officers.
The announcement was made by the State Commissioner for Health, Joseph Onojaeme, during a press briefing, where he revealed that entry-level doctors will now earn ₦570,000 monthly, up from the previous ₦370,000.
House officers are also set to benefit, with their earnings rising from just over ₦250,000 to above ₦350,000, boosted by a newly introduced ₦100,000 tax-free “MORE Special Allowance.”
Why the Pay Raise?
According to the commissioner, the decision was driven by concerns over the low turnout of doctors in the state’s ongoing recruitment exercise.
Despite receiving over 6,000 applications for more than 700 health worker positions, the number of qualified doctors who showed up fell short of expectations—raising alarm over staffing gaps in the healthcare system.
Government’s Strategy
The state government believes the improved salary structure will:
Attract more qualified doctors
Retain existing medical professionals
Strengthen healthcare delivery across Delta State
Joseph Onojaeme also reassured the public that the recruitment process will remain strictly merit-based, stressing that no form of payment or favoritism will be tolerated.
Big Picture
With Nigeria facing an ongoing brain drain in the medical sector, Delta State’s move is seen as a strategic attempt to compete with better-paying opportunities abroad and in the private sector.
If successful, this could set a precedent for other states struggling to keep their healthcare workforce intact.
The Nigerian Association of Resident Doctors has declared an indefinite nationwide strike beginning at 12:00 a.m. on Tuesday, April 7, 2026, citing what it described as the Federal Government’s plan to halt the implementation of the revised Professional Allowance Table, a key component of agreements reached after its 2025 industrial action.
The decision, which threatens to disrupt healthcare services across public hospitals in Nigeria, was reached at the end of the association’s virtual Extraordinary National Executive Council meeting held on Saturday.
Speaking on the outcome of the meeting, NARD National President, Dr Shuaibu Ibrahim, described the development as “unfortunate,” blaming the Federal Government of Nigeria for pushing doctors toward another industrial action.
“The National Executive Council was informed about the Federal Government’s decision to remove the Professional Allowance Table, a development deemed unfortunate,” he said.
“Following extensive deliberations, the NEC resolved to embark on a total industrial and comprehensive strike beginning at 12:00 a.m. on Tuesday, April 7, 2026.”
The crisis stems from the implementation of a revised Professional Allowance Table negotiated between NARD and the Federal Government following a prolonged strike in 2025. The agreement included improved remuneration packages for resident doctors, covering call duty allowances, shift allowances, rural posting incentives, and non-clinical duty payments.
Although implementation was initially scheduled to commence in January 2026, delays pushed the rollout to February. However, NARD alleged that the government is now planning to discontinue the process by April, a move the association says undermines trust and violates prior agreements.
Healthcare analysts note that disputes over allowances and welfare have been a recurring issue in Nigeria’s health sector, contributing to frequent strikes by medical unions, including the Nigerian Medical Association. These disruptions often reduce access to healthcare services, particularly in public hospitals that cater to the majority of Nigerians.
Outlining the association’s demands, Ibrahim called for the immediate reversal of the government’s decision and settlement of all outstanding entitlements.
“We demand the reversal of the decision to cease the implementation of the PAT starting in April 2026,” he said.
“There must be immediate payment of promotion arrears and salary arrears in affected centres, as well as the prompt conclusion of the process of paying the 2026 Medical Residency Training Fund.”
“We also insist on the immediate processing and payment of the outstanding 19 months’ arrears of the Professional Allowance.”
He further urged members of the association nationwide to remain united.
“The NARD leadership calls on its members to unite in the fight against this injustice and to pursue it to a logical conclusion,” Ibrahim added.
The planned strike raises concerns about the potential impact on Nigeria’s already strained health system. Resident doctors form the backbone of service delivery in tertiary hospitals, handling a large proportion of patient care.
According to health sector data, Nigeria faces a severe shortage of medical personnel, with doctor-to-patient ratios far below the World Health Organization (WHO) recommended standard of one doctor to 600 patients. Estimates suggest Nigeria’s ratio is closer to one doctor per 5,000 patients, particularly in underserved areas.
An indefinite strike could lead to the shutdown of outpatient services, delays in surgeries, and increased pressure on private healthcare facilities, raising concerns among patients and health advocates.
Stakeholders have called for urgent intervention to avert another disruption in the health sector, warning that repeated strikes could worsen the ongoing brain drain among Nigerian doctors seeking better working conditions abroad.
As the strike deadline approaches, attention is now on the Federal Government to engage with NARD and resolve the dispute, with millions of Nigerians potentially affected if negotiations fail.
By Gloria Ikibah
The European Union has announced a major upgrade in its relationship with Nigeria, unveiling a €290 million investment package aimed at boosting key sectors including digitalisation, healthcare, agriculture and migration management.
The announcement was made on the sidelines of the Eighth Ministerial Dialogue in Abuja, co-chaired by Nigeria’s Minister of Foreign Affairs, Yusuf Maitama Tuggar, and the EU’s High Representative for Foreign Affairs and Security Policy, Kaja Kallas.
The funding, part of the EU’s Global Gateway strategy, will support seven new projects designed to strengthen economic cooperation and reflect what both parties described as a renewed political commitment to deeper bilateral ties.
Speaking at the event, Ms Kallas said: “In the current
geopolitical context, the European Union is keen to enhance its partnership with Nigeria. Bringing more EU investment to Nigeria, aligning with the Renewed Hope agenda for the Nigerian Federal Government is a key priority for both sides in this regard”.
EU Commissioner for International Partnerships, Jozef Síkela, highlighted the broader impact of the initiative, stating: “Together with Nigeria, we are investing in the modernisation of the digital sector, a stronger health system and in the development of agriculture. These Global Gateway investments create new quality infrastructures, sustainable jobs and long-term economic opportunities that benefit the Nigerian people, but also create new opportunities for Europe”.
A significant portion of the package — €131 million — is earmarked for digital development. The funding will support the expansion of broadband infrastructure, including the rollout of 90,000 kilometres of fibre optic cable, aimed at improving connectivity and reducing internet costs for millions of Nigerians currently without access. It will also fund the development of secure digital public systems and support large-scale training initiatives under Nigeria’s technical talent programme.
In the health sector, €55 million has been allocated to boost local pharmaceutical production. Through a new credit line backed by the European Investment Bank, Nigerian companies will gain access to preferential loans to support the manufacturing of medicines and vaccines. The initiative will also include vocational training programmes to build expertise within the workforce.
Agriculture is set to receive €86 million in additional support, focusing on cocoa and dairy value chains. The funding will facilitate access to finance for businesses and smallholder farmers, while also promoting climate-smart agricultural practices. The move aligns with Nigeria’s ambition to expand milk production and strengthen its cocoa exports to European markets.
Meanwhile, €16 million has been dedicated to migration-related initiatives. The funds will support the reintegration of returning migrants and enhance efforts to combat human trafficking and smuggling networks. The EU says it will continue to assist stranded migrants wishing to return home voluntarily, while also strengthening support systems to help them rebuild their lives.
The latest commitments add to existing EU-backed projects in Nigeria, including investments in transport infrastructure in Lagos, renewable energy development, democratic governance, and efforts to combat gender-based violence.
With these new agreements, total EU and Team Europe commitments to Nigeria since 2025 now stand at €962.5 million, underscoring what officials describe as a rapidly evolving and increasingly strategic partnership.
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