Accidents and sequelae of medical abortions (original) (raw)
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The Cause of Death Following Abortion. An Analysis of 28 Consecutive Cases at Groote Schuur Hospital
BJOG: An International Journal of Obstetrics and Gynaecology, 1968
ABORTION and its complications are the commonest causes for hospital admission to the gynaecological wards at Groote Schuur Hospital, Cape Town. During the six-year period 1960-65,9,692 cases of abortion were admitted, out of a total gynaecological intake of 32,584 cases. The mortality in cases of abortion varied considerably from year to year but the average was 0.29 per cent, representing 28 deaths (see Table I). This paper reviews these 28 deaths in an effort to determine what factors might have been altered to produce a more favourable outcome. The case histories were analyzed, then the postmortem reports. Postmortem examination was performed in 27 out of 28 cases at the State Pathological Laboratories; in one case a postmortem examination was not made.
Unsafe Abortion- A Tragic Saga of Maternal Suffering
Journal of Nepal Medical Association, 2010
INTRODUCTION: Unsafe abortion is a significant cause of maternal morbidity and mortality in developing countries despite provision of adequate care and legalization of abortion. The aim of this study was to find out the contribution of unsafe abortion in maternal mortality and its other consequences. METHODS: A retrospective study was carried out in the Department of Obstetrics and Gynecology in BPKIHS between 2005 April to 2008 September analyzing all the unsafe abortion related admissions. RESULTS: There were 70 unsafe abortion patients. Majority of them (52.8%) were of high grade. Most of them recovered but there were total 8maternal deaths. CONCLUSIONS: Unsafe abortion is still a significant medical and social problem even in post legalization era of this country. Keywords: abortion, legalization, maternal death, unsafe.
Unsafe Abortion: Changing Pattern of an Avoidable Tragedy
Nepal Journal of Obstetrics and Gynaecology, 2016
Results: There were 66 cases of unsafe abortion admitted in three years. Most common mode of unsafe abortion was by taking different types of oral drugs in various doses prescribed by medical shops, in 65.2% of women. Most common clinical presentation was heavy vaginal bleeding in 77% of women. After evaluation, commonest diagnosis made was incomplete abortion in 56.1% of women. In 57.6% of women, unsafe abortion was of low grade. In previous similar study done at the same centre, 16 (22.8%) of unsafe abortions were of low grade, 17 (24.2%) were of moderate grade and 37 (52.8%) were of high grade.
International Journal of Biomedical Research, 2015
Context: Unsafe abortions remain a significant cause of maternal mortality and morbidity in Nigeria. They increase the burden on the already stretched health systems with majority coming in as emergencies and contribute to maternal morbidity and mortality. It is important to ascertain these contributions in order to prevent them. Objectives: This study aims at reviewing the contributions of unsafe abortions to gynaecological emergencies, the pattern of terminations and complications, as well as morbidity and mortality among women in Jos University Teaching Hospital (JUTH). Methodology: The 120 cases of unsafe abortions managed from January 2001 to December 2005 at the Jos University Teaching Hospital were reviewed. Information was retrieved from patients' case notes in the various gynaecological units as well as daily ward reports and analyzed using EPI Info statistical software version 3.3. Results: Induced abortions contributed 4.8% of the 2,495 gynaecological emergencies and 12.64% maternal deaths; with the maternal mortality ratio being 891/100,000 live births. The age range was 14-45 years, with the majority 33% (40) being adolescents. Singles contributed 70.8% (85), married 26.7 %(32), and separated/divorced 2.5 % (3). Parity range was 0-10, with 66.4% being nulliparous and 21.1% grand-multipara. At presentation, 26 (21.7%) denied termination of pregnancy. Modal gestational age was 13 weeks. Surgical termination occurred in 75 (62.8%) of patients. There were 51 abortions (42.5%) procured at private clinics and 28 (23.1%) at chemists and homes. Most of the patients 60.8% (73) were first timers. Most of the complications of induced abortion occurred in the first week and were mainly: incomplete abortion, septicemia, uterine perforation, acute renal failure, pelvic abscess and tetanus. Uterine evacuation was done for 47.8%, laparotomy for 17.5% and blood transfusion for 23.3% of the patients. Days on admission ranged from 0-64 days. The case fatality rate was 11.2% with 30.8%of the deaths attributed to the use of herbal concoctions. Conclusion: The morbidity and mortality from unsafe abortions remains high. Adolescents contribute high numbers warranting programs for adolescent reproductive health services and improved contraceptive utilization.
Legal Review of Medical Emergencies Arising Due to Failure of Abortion
2021
The purpose of this article is to investigate the legal responses to botched abortions. the main characteristics of this style of study are normative juridical, with a combination of a philosophical framework and legislation Following the outcome of the abortion attempt, Article 53 of the Criminal Code was violated, along with those who assisted in the procedure and those who were victimized. Should an abortion result in the baby's death under article 346, 347, 348, and 349 of the Criminal Code Criminals may commit the crimes individually or in tandem. Hence, they are justly prosecuted, so that they can be designated as criminals or assistants. Article 50 was developed in response to failures by the abortion business; and it can't be penalized unless done in compliance with technical and organizational quality procedures. In general, you do not need a permit to use emergency measures. This does not extend to abortions carried out on the basis of medical emergencies except du...
Unsafe Abortion: Unnecessary Maternal Morbidity and Mortality
Biomedica, 2010
Introduction: Abortion is a sensitive and contentious issue with religious, moral, cultural and political dimensions. It is also a public health concern in many parts of the world. An unsafe abortion is defined as a "Procedure for terminating an unintended pregnancy carried out either by persons lacking the necessary skills or in an environment that does not conform to minimal medical standards, or both". The purpose of the present study was to determine the demographic variables, maternal morbidity and mortality in cases of unsafe abortion. The study was carried out with
Management of spontaneous abortion in family practices and hospitals
Family medicine, 1998
We performed two retrospective chart surveys, the first of 200 consecutive hospital emergency visits for spontaneous abortion and the second in 33 family physicians' offices examining 245 patients with spontaneous abortions. This study determined the rate of surgical management of spontaneous abortions within family practices and hospitals, as well as the rate of referrals and complications. In the retrospective chart surveys, the information collected included the number of spontaneous abortions, dilation and curettages (D&Cs), referrals, and complications. Of the women presenting to the hospitals, 92.5% had D&Cs, while 51% of the women presenting to family physicians had D&Cs. Of the women presenting to the hospitals, 99.5% were referred to gynecologists, compared with 41% of the family practice patients. Hemorrhage occurred in 4.6% of the hospital patients and 2% of the family practice patients. Infection occurred in 6% of the hospital patients and .8% of the family practice ...
Induced Abortion and its complications
International Journal of Current Research and Academic Review, 2017
Article Info To study characteristics of women undergoing induced abortion and associated complications. Case series study. Department of Obstetrics and Gynecology of Lahore General Hospital, Pakistan. 100 patients of reproductive age providing history of induced abortion during a period of 1 year 3 months were included in study and statistically analyzed. Mean age of the patients was 31.02±5.83 years (18-45 years). Most of the study population (98%) comprised of married, multi parous women (mean parity 4.95±2.12 children). Those who procured abortion during 1 st trimester of pregnancy were 86%. Induced abortions were mostly carried out (61%) by Dais (traditional birth attendants) while 15% and 10% by local lady health visitors and nurses respectively. In 2% of cases doctors induced abortion and 2% were selfinduced. 10% did not disclose the operator. Vaginal bleeding is the most common symptom, present in 82% of cases followed by abdominal pain in 51% and fever in 24%. Most frequent complication was anemia (96%), followed by hypo volumic shock (57%).Sepsis was present in 55% of cases, peritonitis in 19%, renal failure in 19%, disseminated intravascular coagulation in 11%, hepatic dysfunction in 6%of cases and direct maternal death in 3%. Married multi parous women who already completed their families are the main who go for pregnancy termination. Induced abortions are mostly performed by untrained personnel in unhygienic conditions. Delay in reporting to hospital results in morbid complications.
Induced Abortion: Decision and Need for Medical Information
Scandinavian Journal of Primary Health Care, 1986
This study gives attention to the preabortion encounter: to what extent medical information was provided and to what extent professional health workers took part in the decision-making process concerning abortion. During the first half year of 1983, 405 women demanding abortion at the Gynecological Department, University Hospital of 'Eondheim, Norway were interviewed. Ninety-five per cent of the women had a preabortion visit at a physician's office. Nearly 44 % of the women were informed about the surgical procedure, while only 26 % of the women were informed about the possible medical risks. Upon arrival at the hospital to have the abortion carried out 53% of the women wanted information about the surgical procedures, while 72 % wanted information about possible medical complications related to the intervention. Fifty-six per cent of the women decided on abortion themselves. Seventy-six per cent (304/405) of the women had discussed termination of the pregnancy with their partners. Of these women 54 9% (164/304) decided on abortion together with their partners. Married women and cohabitants decided more often together with their partners than women living alone did (p~0.01). Only seven per cent of the women who had a preabortion visit discussed the abortion decision with their physician, while less than one per cent of the women decided on abortion during consultation with their physician. At the time of conception over 70% of the women were not using any contraceptives. Among those women who became pregnant as a result of contraceptive failure, significantly more women were either married or cohabitants. The majority of the abortion-seeking women had a pre-abortion visit with a general practitioner. Information on procedures at the hospital and possible medical risks related to the intervention should be provided at the preabortion visit without request from the woman. The primary health care has the possibility for continuing support, therefore primary health care is the place for family planning discussion, pre-post abortion counseling.
Unsafe abortion: an avoidable tragedy
Best Practice & Research Clinical Obstetrics & Gynaecology, 2002
An estimated 60 000±70 000 women die annually from complications of unsafe abortion and hundreds of thousands more suer long-term consequences which include chronic pelvic pain and infertility. The reasons for the continuing high incidence of unwanted pregnancy leading to unsafe abortion include lack of access to, or misuse of and misinformation about, eective contraceptive methods, coerced sex which prohibits women from protecting themselves, and contraceptive failure. Unsafe abortion is closely associated with restrictive legal environments and administrative and policy barriers hampering access to existing services. Vacuum aspiration and medical methods combining mifepristone and a prostaglandin for early abortion are simple and safe. For second trimester abortion, the main choices are repeat doses of prostaglandin with or without prior mifepristone, and dilatation and evacuation by experienced providers. Strategies for preventing unsafe abortion include: upgrading providers' skills; further development of medical methods for pregnancy termination and their introduction into national programmes; improving the quality of contraceptive and abortion services; and improving partner communication.