Medical management of abortion generally involves either a. Septic abortion is a significant health problem with short and longterm complications that affect the quality. Treatment of septic abortion obgyn coding ask an expert. Incidence of septic abortion varies widely between developing and developed countries. Although abortion services in india were liberalised more than 3 decades ago, access to them remains limited for majority of women. A septic abortion is an infection of the placenta and fetus, or products of conception, of a previable pregnancy. Download the pdf to view the article, as well as its associated figures and tables. The incidence of septic abortion in our study was 6. It depends upon literacy, awareness about the facilities available, legislation, and socioeconomic status of the population. Ampicillin in septic abortion wiley online library. Amenorrhea for 2 months followed by pv bleeding for 11 days after self induced medical abortion at 7wk and 2 days of. Case reports in obstetrics and gynecology publishes case reports and case series related to obstetrics, maternalfetal medicine, gynecology, gynecologic oncology, urogynecology, reproductive medicine, infertility, and reproductive endocrinology. Infection is centered in the placenta and there is risk of spreading to the uterus, causing pelvic infection or becoming systemic to cause sepsis and potential damage of distant. Comparison with the 23 patients who were more ill exposes a variety.
First trimester abortion guidelines and protocols ippf. In cases of septic abortion, ampicillin 2g q 6hr, gentamicin 80mg q8hr or 5mgkg every 24 hours and metronidazole 500mg q 8hr are usually given until. The term septic abortion describes the occurrence of infection developing in or around the uterus during or after an abortion. We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. The management of septic abortion in an intensive care. Septic abortion definition of septic abortion by medical. Septic abortion is serious uterine infection during or shortly before or after an abortion. Septic abortion, an infected abortion complicated by fever, endometritis, and parametritis, 1 remains one of the most serious threats to womens health worldwide.
Septic abortion is still a challenging problem and a major cause of maternal mortality and morbidity in developing countries. The infection can result from factors such as chlamydia, iuds or attempted abortion using infected tools. Respecting a clients right to confidentiality absolute respect for the patients right to privacy, discretion. The value of icu treatment in the management of septic abortion has been assessed. Download all prepladder handwritten notes 2019 free. Laboratory tests should include complete blood count cbc with differential, liver function tests, electrolyte levels, glucose, blood urea nitrogen bun, and creatinine. Of patients subjected to hysterectomy, the mortality is now 20%, as opposed to 37% prior to the advent of icu. Abstract that endocarditis, particularly subacute bacterial endocarditis, may be a sequel of infections during or following pregnancy, has received comparatively little attention, although many have considered the hazards incident to a pregnancy complicating a previously existing endocarditis. A septic abortion is an infection of the placenta and fetus products of conception of a previable pregnancy. Septic shock occurs when an infection overtakes your. Download case discussions in obstetrics and gynecology pdf. Obstetrics the effect of legal abortion on the rate of septic abortion at a large county hospital paul n.
Septic abortion symptoms, diagnosis, treatments and causes. Septic abortion caused by salmonella enteritidis dalaker. Find powerpoint presentations and slides using the power of, find free. Ananth karumanchi, in textbook of nephroendocrinology, 2009. The infection can occur during or just before or after an abortion. Abortion is the expulsion or extraction of an embryo or fetus weighing 500 g or less from its mother when it is not capable of independent survival i. If the link is not responding kindly inform us through comment section. Aspiration using manual vacuum aspiration syringe or electric vacuum pump 30. The genital tract is particularly susceptible to infection at this time and sepsis is often, but not always, consequent to attempts to cause abortion by untrained persons using nonsterilised instruments. December 6, 2018 december, 2018 admin abortion acute uterine inversion contracted pelvis dystocia inevitable abortion isthmic incompetence malpresentations missed abortion normal labor obstetrics revision pdf obstructed labor recurrent abortion retained placenta rupture uterus septic abortion threatened abortion. Infection is centered in the placenta and there is risk of spreading to the uterus, causing pelvic infection or becoming systemic to cause sepsis and potential damage of distant vital organs. Case discussions in obstetrics and gynecology pdf download. Although morbidity and mortality from septic abortion are infrequent in countries in which induced abortion is legal, suffering and death from this process are widespread in many developing countries in which abortion is either.
Incidence approximately 20 percent of pregnant women. Here we report a case of septic abortion due to salmonella enteritidis. Pdf a case of septic abortion unusual presentation. Abstract both of these short books are aimed at the gynecologistobstetrician, but they also have value for physicians with special interests in infectious disease and bacterial shock. Symptoms and signs symptoms and signs of septic abortion typically appear within 24 to 48 h after abortion and are similar to. Septic abortion, an abortion associated with infection and complicated by fever, endometritis, and parametritis,1 remains one of the most serious threats to the health of women throughout the world. Ppt management of septic shock powerpoint presentation. Septic abortions usually result from induced abortions done by untrained practitioners using nonsterile techniques. Soluble fibrin monomer complexes sfmc were determined in patients with septic abortion body temperatures of more than 39 degree c andor chills without apparent signs of endotoxic shock, with infected abortion, with noninfected abortion and with ncbi. Septic shock septic shock once a uniformly fatal condition with 100% mortality. Abortion is the expulsion of the conceptus before 28 completed weeks of gestation, or a fetus weighing less than 500g.
Septic abortion is one of the most important causes of maternal mortality ratemmr accounting for % with. Definition abortion is termination of pregnancy before 20 weeks of gestation and the fetal weight is less tan 500g. Of these, 72 had an uncomplicated recovery after curettage and a hospital stay of 512 days or less. Amenorrhea for 2 months followed by pv bleeding for 11 days after self induced medical. Septic abortion unit, kandang kerbau hospital, singapore. This suspicion may be disproved by establishing an extragenital focus of infection such as pneumonia, appendicitis, cystitis, or pyelitis.
Initial management of septic shock includes basic abcs in any setting. The effect of legal abortion on the rate of septic. The typical presentation is vaginal bleeding, abdominal pain and fever, which may progress to shock, with renal failure occurring in up to 73% of cases, commonly. The report of this case of septic abortion is also important at this point of time, when india is going through a new kind of abortion war after introduction of a draft of the medical. In the medical sense, this term and the term miscarriage both refer to the termination of pregnancy before the fetus is capable of survival outside the uterus. Placental abruption and septic abortion are associated with bilateral cortical necrosis, which is often severe and irreversible.
It would therefore appear that these patients can benefit from intensive nursing and. Unlimited viewing of the articlechapter pdf and any associated supplements and figures. View and download powerpoint presentations on septic abortion ppt. Septic abortion gynecology and obstetrics msd manual.
Ideal emotional response during case ideal emotional. Complications of anesthesia postabortion triad ie, pain, bleeding, lowgrade fever hematometra retained products of conception uterine perforation bowel and bladder injury failed abortion septic abortion cervical shock cervical laceration disseminat. I have 2 providers in my office that have done 2 separate procedures on a patient that came to the er for a nonviable fetus. Ppt abortion powerpoint presentation free to download. Thank you for your interest in spreading the word about the bmj. When septic abortion is suspected, aerobic and anaerobic cultures of blood are done to help direct antibiotic therapy. Complications of spontaneous miscarriages and therapeutic abortions include the following. The report of this case of septic abortion is also important at this point of time, when india is going through a new kind of abortion war after introduction of.
Worldwide, abortion accounts for approximately 14% of pregnancyrelated deaths, and septic abortion is a major cause of the deaths from abortion. Abstract this monograph recognizes that the critically ill patient with a septic abortion is a major challenge to the attending physician, the house staff, and nursing service. This incidence of septic abortion can be reduced by increasing awareness and making safe abortion services easily. The term abortion is more commonly used as a synonym for induced abortion, the deliberate. Endocarditis following septic abortion with special. Septic abortion caused by salmonella infection is rare.
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