Saira Saeed.
The risk factors and immediate complications of septic induced abortion.
Isra Med J Jan ;6(2):86-9.

OBJECTIVE: To identify the risk factors and immediate complications of Septic induced abortion. STUDY DESIGN: A descriptive study PLACE AND DURATION: Department of Obstetrics and Gynecology, Unit 1 civil Hospital Karachi, affiliated with Dow University of Health Sciences from 1st August 2006 to 15th March 2008. METHODOLOGY: The patients who were admitted with history of induced abortion were interviewed in privacy and after getting informed verbal consent, Age, marital status, parity, Socio-economic status, reasons for inducing abortion, status of abortionist and method for inducing abortion were entered in specified proforma. Then severity of complications management given to patient and their prognosis were noted. RESULTS: Total of 50 women admitted with history of induced abortion during study period. Induced abortion was common in 21—30 years age group 62% (n= 31), married 94% (n=47), grand multiparous 40% (n=20) and lower middle class 56% (n= 28). Most of women 48% (n= 24) did not have history of abortion in past and 54% (n= 27) of women terminated their pregnancies at gestational age of 6—10 weeks. 40% (n= 20) of women reported the reason of abortion was that they cannot afford further child followed by failure of contraception in 28% (n= 14). In 40% (n= 20) of cases abortion was conducted by Dais and instrumentation 68% (n= 34) was the most commonly used method. Most common post abortal complication encountered during this study was hemorrhage in 66% (n= 33), sepsis in 54% (n=27), visceral injuries 24% (n= 12). For the management D & E was the most commonly 68% (n= 34) performed procedure, followed by peritoneal lavage (16%, n=8), uterine repair (10%, n=5). CONCLUSION: Incidence and associated complication of illegally induced abortion can be reduced through effection family planning services by improving women`s educational and social status, mass health education and legal sanction against back door abortions and early recognition of complication and referral to hospital can reduce the mortality significantly.

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