Role of Surgical Interventions and Outcomes in Septic Abortion Cases: A Prospective Hospital Based Study
Background: Aim of this study was to evaluate the maternal morbidity & mortality, clinical features, management and role of surgical interventions in cases of septic abortion in a tertiary Centre. Methods: This study was conducted on 25 cases of septic abortion in the Department of obstetrics & Gynaecology in Himalayan Institute of Medical Sciences, Dehradun. All patients were evaluated with special reference to incidence, etiological factors, clinical features, surgery & maternal morbidity & mortality. Results: Common age group was between 26-30 years. Most of the cases were from lower socioeconomic status. Septic abortion following spontaneous abortion was present in 5 cases. Unwanted pregnancy was the indication for termination of pregnancy in majority of the cases. 8 cases required laparotomy for drainage of pus, 1 patient had hysterectomy. Conclusion: The incidence of illegal and septic abortion can be reduced by increasing awareness about family planning services and making legal abortion services easily available to the women and that too at a cheaper cost.
2. Maternal mortality http:/www.icm.tn.goc.in/intersession/ maternal.htm
3. Hiralal K. Changing trends in septic abortion. J obstet gynec of India 1992; 42: 266 - 92
4. Rana A. Pradhan N, Singh M. Induced septic abortion, a major factor in maternal mortality and morbidity. J obstet gynec of Research 2004; 30: 3
5. Sharma JB, Manaktala AK, Malhotra M. Complications and management of septic abortion, A five year study. J obstet and Gynecol Ind 2001:51;74
6. Hawkins DF, Sevitt LH, Fairbrother PF et al. Management of septic chemical abortion with renal failure. N Engl J Med 1975; 292:722-5
7. Reid DE. Assessment and management of seriously ill patients following abortion JAMA 1967; 199:805-7
8. Singhal PC, Kher VK, Dhall GI et al. Conservative Vs surgical management of septic abortion with renal failure. Int J Gynaeco Obstet 1982; 20:189-94
9. Rivlin ME, Hunt JA. surgical management of diffuse peritonitis complicating obstetric / gynecologic infection. J. Obstet Gynecol 1986; 67:652-5.
10. Shailesh Kore, sanjay rao etal. j.obstet gynecol india vol.54 no.3 may-june 2004.289-292