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Reversed Abortion Could Cause Heavy Bleeding, Birth Defects – Experts

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Medical experts have warned pregnant women against taking high doses of progesterone in an attempt to reverse or no stop a medical abortion already in progress, noting that they are at risk of haemorrhage (heavy bleeding) and giving birth to babies with abnormalities.
An American non-governmental organisation, Heartbeat International has been propagating the use of Abortion Pill Reversal, claiming that a pregnant woman can reverse the course of an abortion with high intake of progesterone.
However, health practitioners have described the claim by the Christian right anti-abortion outfit as misleading, warning that it lacks scientific evidence.
Speaking in an interview with The Tide’s source, a Pharmacist, Emeka Duru, said taking high doses of progesterone injection in an attempt to reverse a medical abortion is unsafe and exposes the woman to haemorrhage, blood clotting and blockage of the fallopian tubes.
Duru, who is a past National Secretary of the Pharmaceutical Society of Nigeria, maintained that there is no evidence in that progesterone can stop an ongoing abortion.
He said, “Pregnancy is a natural thing and it takes a natural process for it to be established in the womb. The termination process of such established pregnancy is unnatural. And then you have already commenced the process of abortion in and then, you go ahead to take another drug, a steroid to reverse it.
“This should not be encouraged because there must be some very fatal and dangerous effects. It will result in some gynaecological issues that may not be established right away, probably after a while.
Continuing, the pharmacist said, “We encourage Nigerians to only buy drugs that are registered by the National Agency for Food and Drug Administration and Control, and must have gone through the process of research in our institutes, like the National Institute for Pharmaceutical Research and Development.
“If a drug is already in the global market, and is to come to Nigeria, any Nigerian that wants to purchase this type of drug must make sure that such drug is registered with NAFDAC, for it to be legal in Nigeria or for it to be legally used in Nigeria.”
Duru urged Nigerians to avoid drugs considered to be dangerous, especially prescription drugs.
He noted that when it comes to using drugs registered by NAFDAC, the intended user must get a doctor’s prescription and also get it from the right source; that is from a registered pharmacy that is manned by a pharmacist to avoid health issues.
He enjoined pharmacists to desist from practices that go against the ethics of the profession and to also ensure that they do not encourage the use of drugs not registered medications, not certified by NAFDAC.

On his part, a Consultant Obstetrician and Gynaecologist, Dr. Joseph Akinde, said taking high doses of progesterone may reverse abortion in progress.
He, however, noted that the reversal is not always 100 per cent and the foetus may develop abnormalities.
Akinde, a past  Chairman, Society of Gynaecology and Obstetrics of Nigeria, Lagos State chapter, said, “If the effect of the mifepristone is not nullified by the high doses of the progesterone that the woman took, then the abortion process will go to completion.
“So, the woman will be disappointed. On the other hand, she may be lucky, but she may still end up losing the pregnancy despite the fact that she had taken high doses of progesterone.”
Speaking on the health implications, the gynaecologist said if the drug succeeds in reversing the abortion, the baby may come down to with abnormalities.
He said women should be cautious when taking reproductive health decisions, reiterating that the intake of high doses of progesterone may not reverse the abortion and that they may end up losing the pregnancy.
The way Abortion Pill Reversal works, according to experts, is that a pregnant woman who intends to abort within the first three months will first have to ingest mifepristone, after which she is expected to complete the process usually between 24 and 48 hours later with a second medication called misoprostol.
This is technically referred to as medical abortion and it must be strictly done under the supervision of a competent physician.
Abortion is illegal in Nigeria except if it becomes imperative for the safety of the mother or for medical reasons as may be advised by a competent physician.
Experts warn that once a pregnant woman takes mifepristone, the abortion will begin and that it is irreversible.
According to the World Health Organisation, six out of 10, of all unintended pregnancies end in an induced abortion.
“Around 45 per cent of all abortions are unsafe, of which 97 per cent take place in developing countries. Unsafe abortion is a leading – but preventable – cause of maternal deaths and morbidities.”It can lead to physical and mental health complications, and social and financial burdens for women, communities and health systems”, WHO stated.
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RSG Plans Fresh Training For TBAs

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Plans are in the works by the authorities in the Rivers State Ministry of Health to conduct training for Traditional Birth Attendants(TBAs) in the State.
State Commissioner for Health, Dr. Adaeze Oreh gave the hint while chatting with newsmen recently in Port Harcourt.
She said the training has become crucial to school the TBAs on methods and measures to complement in maternal health care.
In her words,”  We are aware of of their roles, but we need to be confident that they can still play that role, especially the skills set needed to complement what government is doing.’’
Dr. Oreh explained that maternal and child care has evolved, hence, the TBAs need to be schooled,” we want them to scale up their skills, especially on high risk pregnancies.”
She continued, “ We want to make sure that our system mops up those high risk pregnancies, because we know that many of them carry out clandestine activities they are not helping us.”
Assuring of improved manpower in the State health sector, Dr. Oreh said the Governor Siminalayi Fubara administration has embarked on fresh recruitment exercise for health workers to meet current challenges.
She assured that once the recruitment exercise is completed, the various health centres and hospitals will be staffed with qualified manpower to provide efficient health services in the State.

Kevin Nengia

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Viral Hepatitis Claims 3,500 Lives Daily -WHO

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The World Health Organisation (WHO) has raised an alarm on viral hepatitis infection that claims 3,500 lives each day.
According to the World Health Organisation (WHO) 2024 Global Hepatitis Report, the number of lives lost due to the viral hepatitis is increasing.
The disease is the second leading infectious cause of death globally — with 1.3 million deaths per year, the same as tuberculosis, a top infectious killer.
The report, released at the World Hepatitis Summit revealed that despite better tools for diagnosis and treatment, and decreasing product prices, testing and treatment coverage rates have stalled.
It, however, said, reaching the WHO elimination goal by 2030 is still  achievable, if swift actions are taken now.
New data from 187 countries show that the estimated number of deaths from viral hepatitis increased from 1.1 million in 2019 to 1.3 million in 2022. Of these, 83percent were caused by hepatitis B, and 17percent by hepatitis C. Every day, there are 3,500 people dying globally due to hepatitis B and C infections.
“This report paints a troubling picture: despite progress globally in preventing hepatitis infections, deaths are rising because far too few people with hepatitis are being diagnosed and treated,” said WHO’s Director-General, Dr Tedros Adhanom Ghebreyesus.
He added, “WHO is committed to supporting countries to use all the tools at their disposal – at access prices – to save lives and turn this trend around.”
Updated WHO estimates indicate that 254 million people lived with hepatitis B and 50 million with hepatitis C in 2022. Half the burden of chronic hepatitis B and C infections is among people 30–54 years old, with 12percent among children under 18 years of age. Men account for 58percent of all cases.
New incidence estimates indicate a slight decrease compared to 2019, but the overall incidence of viral hepatitis remains high.
In 2022, there were 2.2 million new infections, down from 2.5 million in 2019.
These include 1.2 million new hepatitis B infections and nearly one million new hepatitis C infections. More than 6,000 people are getting newly infected with viral hepatitis each day.
The revised estimates are derived from enhanced data from national prevalence surveys. They also indicate that prevention measures such as immunisation and safe injections, along with the expansion of hepatitis C treatment, have contributed to reducing the incidence.

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How Dates Boost Fertility -Research

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Now, researchers in a study, suggest that date palm is an arsenal to fight infertility in couples. They found that 1-month consumption of date palm has a positive impact on the sexual function of infertile couples.
The study to investigate the effect of date palms on the sexual function of infertile couples  was in the 2022 edition of the BMC Research Notes.
In a double-blind, placebo-controlled clinical trial conducted on infertile women and their husbands who were referred to infertility clinics in Iran in 2019, researchers found sexual function in females (arousal, orgasm, lubrication, pain during intercourse, satisfaction) in the intervention group was significantly increased compared to females in the control group that had no date palm.
Infertility and infertility management affects different dimensions of a couple’s life. Sexual dysfunctions can appear in both partners and might provoke problems in every stage of sexual response. Infertility negatively affects the sexuality of infertile couples.
Numerous studies show that infertile women have lower sexual function than fertile women. Sexual satisfaction is strongly affected by the consequences of infertility such as reduced self-esteem, feelings of depression and anxiety, and failed sexual relationships.
The intervention group was given a palm date capsule and the control group was given a placebo. The starch powder was applied to prepare the placebo capsules.
Also, all areas of male sexual function (erectile function, orgasmic function, sexual desire, intercourse satisfaction and overall satisfaction) significantly increased in the intervention group compared to the control group.
Infertility is not only a medical problem but also affects all personal dimensions and social life of most infertile individuals. Infertile couples are more prone to psychological problems (anxiety, depression, and stress), which may result in marital distress, social dysfunction (stigma, social exclusion, and feelings of failure), and reduced quality of life.
Infertility and infertility management affects different dimensions of a couple’s life. Sexual dysfunctions can appear in both partners and might provoke problems in every stage of sexual response. Infertility negatively affects the sexuality of infertile couples.
Numerous studies show that infertile women have lower sexual function than fertile women. Sexual satisfaction is strongly affected by the consequences of infertility such as reduced self-esteem, feelings of depression and anxiety, and failed sexual relationships.
Dates palm is known to have come from what is now Iraq. In Nigeria, dry and soft date fruits are sold out for consumption. However, in the northern part, they are added to the locally brewed alcoholic beverage to help reduce the intoxicating power.
Dates are a good source of energy and vitamins and important elements such as phosphorus, iron, potassium and a significant amount of calcium. It is also rich in phenolic compounds possessing free radical scavenging and antioxidant activity.
Since ancient times, the date palm has been used in Greece, China and Egypt to treat infertility and increase sexual desire and fertility in females. There are few studies on the effect of date palms on male and female sexual function in human beings.
Besides, studies have shown that the various parts of its plant are widely used in traditional medicine for the treatment of various disorders which include memory disturbances, fever, inflammation, paralysis, loss of consciousness and nervous disorder.
Culled from Tribune online.

 

The researchers suggested that the improvement in male and female sexual function can be due to active ingredients and increased levels of sex hormones following the consumption of date palms since studies indicated that increasing sex hormones are effective in sexual function.

They, however, recommended more studies with a longer duration on the use of date palms on sex hormone levels in infertile couples.

Previously, a study revealed that using date palms in postmenopausal women for 1 month had a positive and significant impact on sexual desire and arousal.  Another suggested that using date palms had a positive impact on orgasm, satisfaction and lubrication in women and also reduced pain during intercourse in women.

In the laboratory, administering date palms to male rats and measuring their sexual behaviours, researchers showed that sexual behaviour parameters (number of ejaculations, number of intercourse) increased compared to the control group.

 

 

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