Septic Shock in Obstetrics and Gynecology

Bacterial Infection and Hematological Parameters of aborted women in Thi-Qar province, Iraq

“…Ascending uterin infection from the lower genital tract due to bacteria has been implicated as an important causative factor for many pregnancy complication one of them spontaneous abortion (Tripathi et al, 2003). Kaponis et al (2012) showed that the one of the most frequent causative pathogens are Aerobic Bacteria (Escherichia coli, Staphylococcus aureus, group B β-hemolitic Streptoccocus, Enteroccocus, other Streptoccocus species, Hemophilus Influenzae, Pseudomonas species, Klebsiella, Enterobacter species, Proteus species. Also Deb et al, (2004) found that the Genital tract infections caused by gram-negative bacteria induce abortion and are one of the most common complications of human pregnancy.…”

“…According to the criteria of WHO spontaneous abortion defined as the expulsion of an embryo or extraction of the fetus weighting 500g or less , this fetal weight will normally corresponding to gestational age of 20-22 weeks (Goddijn and Leschot, 2000). When abortion related with infection and complicated by fever, endometritis and parameritis called septic abortion, which remains one of the most serious threats to the health of women throughout the world (Prine and Macnaughton, 2011).The bacteria associated with septic abortion are usually polymicrobial, derived from the normal flora of the vagina and endocervix, with the important addition of sexually transmitted pathogens (Kaponis et al,2012).There are number of different routes by which an infection may reach the intra-amniotic cavity transplacental spread of infection can occur in women with bacteremia, an infection of the abdominal cavity could spread via the fallopian tubes, but the most common routs is an ascending infection from bacteria colonize the vagina and or cervix (Seliga-siwecka and Kornacka 2011). Indirect evidence indicated that the most common pathway on intrauterine infection is the ascending route than other route (Anjum, 2011).…”

“…Indirect evidence indicated that the most common pathway on intrauterine infection is the ascending route than other route (Anjum, 2011). Pelvic infections in pregnant women have their microbiologic origin in one of three sources: the endogenous vaginal microflora, the intestinal microflora, and sexual transmission, the infection occurs via migration of the organisms from the vagina through the endocervix into the uterus, Some organisms may traverse the columnar epithelium, as is the case with infection caused by Neisseria gonorrhoeae and Chlamydia trachomatis (Kaponis et al, 2012). Hematologic tests through blood screening help assess medical concerns and serve as baseline information for future monitoring of health.…”