Unsafe abortion in the twenty‐first century

Desai, Ranjana; Bhati, Indra

doi:10.1111/aogs.12345

Acta Obstet Gynecol Scand

2014

DOI: 10.1111/aogs.12345

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Unsafe abortion in the twenty‐first century

Ranjana Desai

Indra Bhati

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Cited by 3 publications

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“…Thus, the puerperal sepsis during the post-abortal phase may be a consequence of unsafe abortion as well. 12,13 However, the concern remains the same since maternal sepsis is largely preventable but still chokes the maternal health care system, making itself a public health problem. From low and middle-income countries, small cohort studies that have focused on either post-abortal sepsis or on post-delivery sepsis postpartum sepsis have examined the evidence of maternal death due to sepsis.…”

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confidence: 99%

“…From low and middle-income countries, small cohort studies that have focused on either post-abortal sepsis or on post-delivery sepsis postpartum sepsis have examined the evidence of maternal death due to sepsis. [13][14][15][16][17] However, there is need to study the menace using a holistic approach, that must include association of factors which trigger the possibility of falling down with sepsis after child birth.…”

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Burden of puerperal sepsis and its relation with maternal mortality

Kaur,

Mattu

et al. 2023

Int J Reprod Contracept Obstet Gynecol

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Background: Puerperal sepsis, an infection of the genital tract, can appear at any time between the time of membrane rupture or labour to 42nd day after delivery. It accounts for 15% of maternal mortality. Aims of this study are to determine the incidence of puerperal sepsis and the associated mortality rate and explore socioeconomic risk factors of puerperal sepsis. Methods: This prospective longitudinal study was conducted in Obstetrics and Gynecology department at the GGSMC and H, Faridkot, from November 2021 to October 2022. Inclusion criteria were: any patient presenting either immediately after delivery/abortion or within 42 days of these events with fever and any of the following: abdominal pain, malodorous lochia, abdominal distention, uterine tenderness, pelvic abscess, peritonitis, mechanical or foreign body injury, organ failure, or shock. Results: The incidence of puerperal sepsis among the women was 6.37 per 100 population at-risk in our study sample. Laparotomies were performed on 17 patients, primarily because to abdominal collection. Four patients experienced uterine perforation, and one of them also had gastrointestinal injury. The maternal deaths attributed to puerperal sepsis were 19.2%. Conclusions: The morbidity and mortality of women from puerperal sepsis are indicators of the quality of obstetric care in the area. The incidence of maternal sepsis may be reduced with the support of initiatives to encourage early recognition and effective therapy. Future study must focus on exploring the causes of anaemia and the factors that influence women going to unsafe delivery and abortions, so that evidence-based policies at the community level.

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confidence: 99%

mentioning

confidence: 99%

Burden of puerperal sepsis and its relation with maternal mortality

Kaur,

Mattu

et al. 2023

Int J Reprod Contracept Obstet Gynecol

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Small Bowel Obstruction in a Young Female following an Unsafe Abortion: An Unusual Cause

Goel¹,

Agarwal²,

Bansal³

et al. 2016

Panamerican Journal of Trauma, Critical Care &Amp; Emergency Surgery

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The number of unsafe abortions has declined over the years in India but we still come across many cases and few of them with fatal complications. Usually such cases may present as bleeding per vaginum with features of sepsis and often instrumentation causing uterine or bowel injury. Our case is a 16 year old unmarried girl who had a history of 5 months of amenorrhea and underwent abortion by a quack in a village presented with features of frank small bowel obstruction due a rare unusual cause. How to cite this article Goel A, Bansal R, Goel S, Agarwal A. Small Bowel Obstruction in a Young Female following an Unsafe Abortion: An Unusual Cause. Panam J Trauma Crit Care Emerg Surg 2016;5(1):61-63.

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Severe Puerperal Sepsis-A Simmering Menace

Marwah¹

2017

JCDR

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Introduction: Even decades after the development of effective low-cost antibiotics, sepsis persists as the foremost cause of preventable maternal death worldwide. In developing countries like India, where the paramount impediment to intervention is poverty, maternal mortality due to sepsis is a continuing representation of maternal health inequality. Aim:To determine the incidence, risk factors and mortality in women presenting with puerperal sepsis in a tertiary care health facility in India. Materials and Methods:This retrospective study was carried out in VMMC and Safdarjung Hospital, New Delhi, India, from January 2016 to June 2016 in Department of Obstetrics and Gynaecology. Case records of all eligible patients of puerperal sepsis were reviewed and data were extracted regarding demographic profile, clinical profile on admission, course in hospital, management, complications and cause of mortality (in case of death). Inclusion criteria were any patient presenting either immediately after delivery or miscarriage or within 42 days of these events with fever and any of the following: pain abdomen, malodorous lochia, abdominal distention, uterine tenderness, pelvic abscess, peritonitis, mechanical or foreign body injury, any system/organ failure or shock. Exclusion criteria consisted of patients presenting with fever during pregnancy or more than 42 days after delivery or miscarriage, or patients presenting with fever due to medical conditions, wound infection, mastitis, UTI or thrombophlebitis. Data were entered in predesigned proformas and analysed. A p-value of less than 0.05 was considered significant. Results:During the study period, a total of 33 cases met the inclusion criteria. Of these, 90% were referred cases. Anaemia, prolonged labour, delivery by an untrained person and unsafe abortion were the main identifiable risk factors. Surgical management was required in 75% cases, while 70% women succumbed to their illness, mostly due to multiorgan failure. Conclusion:Maternal mortality due to maternal sepsis is very high; Lack of safe and hygienic practices for conducting delivery and abortion are important contributory factors.www.jcdr.net Sheeba Marwah et al., Severe Puerperal Sepsis-a Simmering Menace

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Unsafe abortion in the twenty‐first century

Cited by 3 publications

References 1 publication

Burden of puerperal sepsis and its relation with maternal mortality

Burden of puerperal sepsis and its relation with maternal mortality

Small Bowel Obstruction in a Young Female following an Unsafe Abortion: An Unusual Cause

Severe Puerperal Sepsis-A Simmering Menace

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