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.”
Health
Edo confirms eight Lassa fever deaths, 56 cases
Edo has recorded 56 Lassa fever cases and eight deaths between Dec. 30, 2024 and January 2025, says the Commissioner for Health, Dr Cyril Oshiomhole.
Oshiomhole confirmed the incident on Friday in Benin while formally declaring the situation of Lassa fever in the state.
“The 2025 epidemic year began on Dec. 30, 2024. Since then, 336 suspected cases have been reported, with 56 confirmed and eight resulting in death,” he said.
He said the outbreak posed significant public health risks due to its rapid transmission potentials and severe outcomes if not effectively managed.
Oshiomhole revealed that 14 patients are currently receiving specialised care at the Lassa Fever Treatment Center in Irrua Specialist Teaching Hospital (ISTH).
He also noted that “In 2024, the state recorded 3,270 suspected cases, 292 confirmed cases, and 41 deaths, showing a decline from 2023 which recorded 65 deaths from 372 confirmed cases.”
According to him, the state has activated its Public Health Emergencies Response Management Team, collaborating with healthcare facilities, community leaders, and stakeholders to contain the outbreak.
As part of the response, measures include “enhanced surveillance, expanded treatment centers, Infection Prevention and Control (IPC), public awareness campaigns, and partnerships with health organisations.”
He urged residents to report anyone with symptoms like fever, weakness, headaches, vomiting, or bleeding to the nearest health facility for early detection.
The commissioner also tasked the response team to reduce the Case Fatality Rate (CFR) and assured of government support to enhance Lassa fever management efforts.
He further said the molecular laboratory at UBTH had been optimised for Lassa fever testing, increasing the state’s capacity with two testing centers at UBTH and ISTH.
The News Agency of Nigeria (NAN) reports that Dr Ekaete Tobi of ISTH has been appointed as the state Lassa fever Incident Manager to coordinate outbreak control activities.
Health
NAFDAC Seals Kaduna Warehouse Over N75 Million Expired Goods
The National Agency for Food and Drug Administration and Control (NAFDAC) recently sealed a warehouse in Kaduna for storing expired food and cosmetic products valued at over N75 million.
The agency announced the development on its official X handle, identifying the warehouse’s location as PP2A Bayajidda Street by Kano Road, New Ogbomosho Road. The operation was prompted by a tip-off from a concerned citizen, leading to a raid by NAFDAC enforcement officers.
During the operation, workers were caught repackaging expired biscuits into sacks. Other expired items, including dairy milk, vegetable oil, soft drinks, and detergents, were also uncovered, underscoring the severity of the malpractice.
The warehouse’s managing director was apprehended for interrogation. NAFDAC assured the public that strict regulatory actions would follow the investigation to deter others from engaging in similar illegal practices.
The agency encouraged citizens to remain vigilant and promptly report any suspicious activities or products to the nearest NAFDAC office, emphasizing the importance of public cooperation in ensuring safety standards.
In a related development, NAFDAC recently shut down a pharmacy on Onitsha Crescent, Area 11 – Garki, Abuja, for selling expired and unregistered drugs. Among the discoveries were expired products worth over N7 million, including “H-Pylori” test kits, which pose significant health risks. The pharmacy’s Managing Director and Superintendent Pharmacist were arrested as part of the investigation.
Since November 2024, NAFDAC has established comprehensive guidelines for the handling and disposal of unwholesome products. These include food, medicines, medical devices, and cosmetics. The agency has reiterated that no regulated product can be manufactured, imported, exported, sold, or used in Nigeria without proper registration.
Unwholesome products, as defined by NAFDAC, include items that are expired, counterfeit, substandard, improperly stored, incorrectly labeled, or unauthorized. Facilities are required to maintain an inventory of such products and follow disposal guidelines to ensure compliance.
NAFDAC’s Director-General, Prof. Mojisola Adeyeye, has emphasized the agency’s commitment to upholding safety and quality standards. She highlighted that enforcing best practices, ensuring supply chain integrity, and monitoring regulated products remain core pillars in safeguarding public health and fulfilling NAFDAC’s mandate.
Through these efforts, NAFDAC continues to prioritize the health and well-being of Nigerians while sending a strong message to perpetrators of such illicit activities.
Health
Cholera kills nine in Rivers
The Rivers State Government yesterday confirmed the death of nine persons in two local government areas from an outbreak of cholera.
Commissioner for Health, Dr Adaeze Oreh, who spoke in Port Harcourt yesterday, said three died in Andoni while six casualties were recorded in Akuku-Toru
She said the death occurred from 41 suspected cases in the two councils but noted that the government through the Ministry of Health had put measures in place to halt the disease.
Oreh said: “With the deepest sense of sympathy to victims of a suspected outbreak of acute watery diarrhoea caused by suspected cholera outbreak, because we, at the Ministry of Health, are yet to actually confirm that those deaths were from Cholera in Isiodun community of Andoni Local Government Area of Rivers State.
“However, the symptoms of the cases reported are in keeping with the surveillance case definition of cholera.
“Cholera is an acute diarrhoea disease that is caused by the bacteria ‘vibrio cholerae’. It thrives in areas with poor water, sanitation and hygiene wash infrastructure.
“It is transmitted by drinking water that is contaminated or ingesting contaminated food as well as contact with surfaces that have been contaminated from infected persons”
She added: “As at the 13th of January, 2025 we have recorded a total of 41 suspected cases from two local government areas in the state. And those local governments are Andoni and Akuku-Toru.
“We have also recorded nine associated deaths out of which three are from Andoni. Six were confirmed from Akuku-Toru Local Government Area.
“It was majorly these deaths that were reported and brought to our attention that necessitates the quick response from our directorate of public health and Disease Control.
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