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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.

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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.

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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.”

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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.”

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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.

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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.

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“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.”

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Health

UNICEF to vaccinate 3.8 million children in Northern Nigeria

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The United Nations Children’s Fund has disclosed that no fewer than 3.8 million children would be vaccinated against measles across four Northern states.

The UNICEF Health Officer in Bauchi state, Patrick Ako, disclosed this in a news conference on Friday, noting that the vaccination exercise would commence on Saturday and run for seven days.

He highlighted that the four Northern states where the integrated measles campaign would take place include Adamawa, Bauchi, Gombe, and Plateau.

“For the measles campaign, we have a target of 3.8 million children from nine months to 59 months, which we are targeting across the four states.

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“We have received in all the states a total of over 4 million doses of measles vaccines which have been supplied across the four states,” Ako stated.

The Health Officer explained that UNICEF is also going to launch an oral vaccination campaign against polio across five Northern states.

He said, “For the oral polio vaccination, we have a target of 6.8 million children that we are going to reach from zero to 59 months, which is less than five years across five states of Taraba, Plateau, Bauchi, Gombe,e, and Adamawa.

“The total number of vaccines that have already gotten to them is 7.4 million doses across these five states.

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“We are looking at it that no child should be left behind; all children of an eligible age group should be reached and be vaccinated.”

Also speaking, a Social Behavioural Change Specialist at UNICEF Bauchi Field Office, George Eki, said it became imperative for UNICEF to support the Nigerian government in protecting children against measles and other vaccine-preventable diseases.

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Health

5 questions to ask your doctor before starting birth control

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It’s normal to have questions about what birth control method is right for you.

Starting birth control is a big decision, and it can feel overwhelming if you’re not sure what questions to ask your doctor.

With so many options available, from pills and patches to implants and IUDs, it’s understandable if you’re feeling confused or anxious.

Finding the right method isn’t just about preventing pregnancy; it’s also about making sure you feel comfortable and healthy with your choice. Your doctor is there to guide you, but it’s important to come prepared with questions that address your concerns, lifestyle, and future plans.

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1. What types of birth control are available?
When it comes to birth control, one size does not fit all. Ask your doctor about the different methods available, such as the pill, IUD (intrauterine device), patch, ring, implant, or shot.

Your doctor can explain how each method works, how effective they are, and what the pros and cons are. For example, if you prefer something long-term, an IUD might be a better option. But if you like having more control, the pill could work well.

2. What are the possible side effects?
Every type of birth control has possible side effects. Some people may experience nausea, headaches, weight changes, or mood swings, while others have no side effects at all. It’s important to ask your doctor about what you might expect. If you’re sensitive to hormones, your doctor can suggest non-hormonal options, like the copper IUD. Being aware of side effects in advance can help you know what to look out for and decide what you’re comfortable with.

3. How will birth control affect my period?
Birth control can change your menstrual cycle in different ways. Some methods may make your periods lighter or stop them completely, while others may cause irregular bleeding at first.

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If having regular periods is important to you, make sure to mention this to your doctor. They can help you choose a method that aligns with your preferences. If your periods are painful or heavy, certain types of birth control may even help reduce those symptoms.

4. Will birth control interact with my current medications or health conditions?
If you have existing health issues, like high blood pressure, diabetes, or a history of blood clots, some birth control options may not be safe for you. Also, if you’re taking medication for any condition, ask whether it might affect how well your birth control works. Your doctor can guide you to options that won’t interfere with your health or current treatments. Safety should always come first when choosing birth control.

5. What happens if I want to get pregnant in the future?
You’ll need to ask how quickly you can become fertile again after stopping birth control. Some methods, like the pill or the patch, allow for a quick return to fertility, while others, like the shot, may take longer.

If you’re thinking about starting a family in the future, talk to your doctor about which birth control options will work best for your timeline. Planning ahead can make transitioning easier when the time comes.

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Cholera claims 10 lives in Enugu

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The Enugu State Ministry of Health has confirmed the death of 10 people following a cholera outbreak in the state.

In a letter addressed to the Guild of Medical Directors on behalf of the Commissioner for Health, Prof. Emmanuel Obi, Dr Egwuonwu Samuel, Director of Medical Services, announced the outbreak and the swift actions being taken to prevent further spread.

The ministry reported several alarming cases of cholera, resulting in 10 fatalities so far. Efforts are already underway by the State Ministry of Health and its partners to contain the outbreak.

“Health facilities and personnel are advised to stay alert for symptoms like acute diarrhea, abdominal cramps, and vomiting,” said Dr. Egwuonwu.

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“We are calling for the immediate implementation of heightened Infection Prevention and Control (IPC) measures in all medical facilities to stop the spread.”

He urged medical practitioners to take extra precautions and report suspected cases swiftly.

“This outbreak poses a significant public health threat, as cholera is a highly contagious disease typically spread through contaminated water or food. The ministry’s swift action is critical to containing the outbreak and protecting public health.”

Dr. Egwuonwu also appealed to the public to practice strict hygiene measures, including boiling water before drinking, frequent hand washing, and avoiding poorly handled food.

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He noted that the Enugu State government would provide further guidelines and updates as the situation develops, while efforts continue in collaboration with local and international health partners to mitigate the outbreak.

(NAN)

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