Induced septic abortion: A major factor in maternal mortality and morbidity

Rana, Ashma; Pradhan, Nirmala; Gurung, Geeta; Singh, Meeta

doi:10.1111/j.1341-8076.2004.00146.x

Cited by 39 publications

(40 citation statements)

References 6 publications

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“…In our study 55% women required laparotomy and our results were comparable with others where the rates of laparotomy varied from 16-52% 5,15 . As the patients were referred late to the tertiary care center with high grades of sepsis, majority needed laparotomy.…”

Section: Discussionsupporting

confidence: 80%

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A clinical study of septic abortions in a tertiary care referral centre in rural India - Still a neglected scenario which can be a preventable catastrophe

Vijayasree¹

2018

OBGYN

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Objectives:The aim of the present study was to assess the magnitude of septic abortion in a tertiary care referral hospital and study their complications. Methods: It was a retrospective study done on patients who were admitted from January 2008 to December 2012 in our hospital. Hundred thirty two (132) patients were included in the study. The demographic and clinical profile in relation to age, parity, marital status, indication of abortion, the methods of abortion used, qualification of health care provider, complications and maternal mortality were evaluated. Results: Unsafe abortion constitutes 11.6% of total abortion cases. Ninety three (70.45%) women were in their third decade, 89% were married and 60% had abortion for birth spacing. In 30% of cases primitive methods were used, but majority of them were terminated by dilatation and evacuation method. Eighty three (62.9%) of abortions were done by unqualified persons. Majority of women were admitted with serious complications like peritonitis (70%), visceral injuries (60%), hemorrhagic and septic shock, renal failure (17.4%), and other conditions like DIC, hepatic failure and encephalopathy. Out of 73 women requiring laparotomy, 22% were done within 24 hours of admission and 49% were performed beyond 24-48 hours. Conclusion:The present study confirms that education and accessibility of contraception, readily available, quality abortion services by trained health providers can limit morbidity and mortality arising from unsafe abortion.Keywords: Unsafe abortion, maternal mortality, rural India.Although abortion has been legalized in India from 1972, unsafe abortion still continues to be a major contributor of maternal morbidity and mortality. Termination of pregnancy, although a safe procedure in trained hands, can produce disastrous outcomes when performed by untrained and unauthorized people in rural settings. Nearly thirteen percent of all illegal abortions in the world are carried out in India 1 . Out of 20 million women who undergo unsafe abortion annually, 70,000 die while millions suffer chronic morbidities 2 . The aim of the study was to evaluate cases of septic abortions admitted to a tertiary care hospital over a period of five years in relation to the magnitude of unsafe abortion and also to assess various epidemiological factors like age, gravida, RESEARCH ARTICLEReceived: 4 th November 2017. Accepted: 10 th December 2017. Vijayasree M. A clinical study of septic abortions in a tertiary care referral centre in rural India -Still a neglected scenario which can be a preventable catastrophe. The New Indian Journal of OBGYN. 2018; 4(2): 121-25.

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Section: Discussionsupporting

confidence: 80%

“…The high incidence of uterine injury in our study was due to primitive techniques adopted by large number of unqualified people. The frequency of bowel injury has varied between 5 to 18% of the cases 5,9,15 in different studies and in our study 24…”

Section: Discussionmentioning

confidence: 97%

A clinical study of septic abortions in a tertiary care referral centre in rural India - Still a neglected scenario which can be a preventable catastrophe

Vijayasree¹

2018

OBGYN

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“…Prescription of ineffective Ayurvedic and other indigenous medicines by private medical practitioners, paramedics and chemists to women seeking terminations have also been reported. 10,11 Comprehensive abortion care services were introduced in Nepal in March 2004, roughly two years after abortion was legalised. These services incorporate pregnancy testing, pre-counselling (for the woman's informed decision about the pregnancy termination, about the abortion procedure, potential risks and consent), surgical abortion and post-counselling (about follow-up care, signs of complications, short ovulation time and need for family planning) and a supply of contraception of the woman's choice.…”

mentioning

confidence: 99%

Availability and Acceptability of Medical Abortion in Nepal: Health Care Providers' Perspectives

Tamang

Tamang²

2005

Reproductive Health Matters

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“…Intestinal injuries have been reported in 5-18% cases in different studies. 3,4 The bowel may be injured with uterine curette, ovum forceps, uterine sound or even plastic cannula when the posterior vaginal wall or the uterine wall is perforated. 5 Ileum and the sigmoid colon are the most commonly injured portions due to their anatomical location.…”

Section: Discussionmentioning

confidence: 99%

Bowel injury: a rare but dreaded complication of unsafe abortion

Ramola¹,

Chaudhari²,

Singh³

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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Induced septic abortion: A major factor in maternal mortality and morbidity

Abstract: : Induced abortion was proven to be a major detrimental factor for maternal mortality. Morbidity was four times higher than mortality to the extent that patients suffered hemiplegia and forced barrenness.

Cited by 39 publications

References 6 publications

A clinical study of septic abortions in a tertiary care referral centre in rural India - Still a neglected scenario which can be a preventable catastrophe

A clinical study of septic abortions in a tertiary care referral centre in rural India - Still a neglected scenario which can be a preventable catastrophe

Availability and Acceptability of Medical Abortion in Nepal: Health Care Providers' Perspectives

Bowel injury: a rare but dreaded complication of unsafe abortion

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