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Background: Despite the low uptake of contraceptive methods in Nigeria and the associated obstetric and medical complications of high birth rate, some of the clients still find reason to discontinue the methods. To determine the reasons for discontinuation of contraceptive methods among clients at the Ahmadu Bello University Teaching Hospital, Shika-Zaria. Patients and Methods: A descriptive cross-sectional study of clients attending the reproductive health clinic of Ahmadu Bello University Teaching Hospital, Zaria, from January to June 2013. Structured questionnaires were administered to consented clients. Information obtained included the following: sociodemographic data, gynecological history, history of contraception, and reasons for discontinuing a contraceptive method. Data were analyzed using Minitab version 15. Results: Majority of the respondents were multiparous, within the age group of 20–29 years, with tertiary education and civil servants. Most of the respondents, 161 (53.3%), had used a contraceptive method before, mostly injectables 64 (40%). In total, 100 clients (62.5%) were still on their methods of choice, whereas 61 (37.8%) had discontinued, giving a discontinuation rate of 37.9%. Majority, 26 (42.6%) discontinued due to reduced need for the method (mostly to conceive), whereas 22 (36.1%) discontinued due to method problems (mostly menstrual problems). Others had no known reason 6 (9.8%), not interested 6 (9.8), and 1 (1.6%) had failure of the method. Clients aged 30–34 years and only Quranic education were more likely to have unmet need for contraceptive use. Conclusion: There is need for effective counseling, education on side effects, and health concerns regarding modern contraceptive methods.

Acute inversion is a rare but serious obstetric emergency. Women can rapidly develop profound shock which can prove fatal if not treated appropriately. A young multiparous woman was rushed to the obstetric unit of the hospital with a history of delivery at home under the supervision of her husband a few hours before presenting with a mass protruding from the vagina and associated severe vaginal bleeding. On examination, she was noticed to have complete uterine inversion of the uterus. She was promptly resuscitated with intravenous fluids and the uterus was manually replaced immediately. She was further managed with analgesics, uterotonic agents, antibiotics and three pints of blood was transfused. She made uneventful recovery and she was discharged from the hospital after 3 days. Uterine inversion is rare, therefore a strong clinical suspicion and prompt intervention in the form of immediate replacement of the uterus, blood transfusion, intravenous fluids with the use of broad spectrum antibiotics can be life-saving. The management of acute uterine inversion should be incorporated into skills and drills training.