title: Introducing misoprostol for the treatment of incomplete abortion in Nigeria.
abstract: Despite legal restriction, induced abortions and resulting complications are common in Nigeria. Misoprostol administration for incomplete abortion was introduced in 3 Nigerian hospitals. The feasibility of the hospitals, patient and provider acceptability were assessed using questionnaire and interview guides administered to 205 women and 17 providers respectively. Amongst the women, 194 (95%) were satisfied and very satisfied with misoprostol, 176 (86%) would choose misoprostol again if another incomplete abortion occurred and 191 (93%) would recommend it to another woman in a similar situation. Providers were highly satisfied with misoprostol. The ease of use and ability to redirect surgical resources to more complicated issues were positive features cited by them. The providers agreed that integration of misoprostol was straightforward and required few resources. Therefore, misoprostol for incomplete abortion is safe, efficacious and acceptable to providers and patients. In remote areas of Nigeria with limited post-abortion care (PAC), misoprostol administration is an important potential PAC treatment modality. Features of misoprostol-low cost, room temperature stability, and ease of introduction-render it an important treatment option, particularly in low resource and rural settings.
authors.affiliation: Ipas, Chapel Hill, NC 27516, USA.
authors.forename: Talemoh
authors.initials: T
authors.lastname: Dah
authors.forename: Akinsewa
authors.initials: A
authors.lastname: Akiode
authors.forename: Paschal
authors.initials: P
authors.lastname: Awah
authors.forename: Tamara
authors.initials: T
authors.lastname: Fetters
authors.forename: Mathew
authors.initials: M
authors.lastname: Okoh
authors.forename: Innocent
authors.initials: I
authors.lastname: Ujah
authors.forename: Ejike
authors.initials: E
authors.lastname: Oji
mesh_terms: D000020:Abortifacient Agents, Nonsteroidal / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D000027:Abortion, Incomplete / Q000188:drug therapy*; D000293:Adolescent; D000328:Adult; D001291:Attitude of Health Personnel; D005260:Female; D006801:Humans; D008875:Middle Aged; D016595:Misoprostol / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D009549:Nigeria; D017060:Patient Satisfaction; D011247:Pregnancy; D011248:Pregnancy Complications / Q000188:drug therapy; D012959:Socioeconomic Factors; D055815:Young Adult
chemical_list: D000020:Abortifacient Agents, Nonsteroidal; D016595:Misoprostol