EVALUATION OF SEPTIC ABORTION IN A MEDICAL COLLEGE HOSPITAL OVER A PERIOD OF ONE YEARS IN JLNMCH, BHAGALPUR, BIHAR.

Dr Geeta Rani; Dr Bindu Sinha; Dr Anupama Sinha

Volume : VII, Issue : VIII, August - 2017

EVALUATION OF SEPTIC ABORTION IN A MEDICAL COLLEGE HOSPITAL OVER A PERIOD OF ONE YEARS IN JLNMCH, BHAGALPUR, BIHAR.

Dr Geeta Rani, Dr Bindu Sinha, Dr Anupama Sinha

Abstract :

OBJECTIVE(S):– To evaluate the causes & sequences of septic abortions and resulting maternal morbidity and mortality in a medical college hospital, and determine indirectly the utilization of National Health services for voluntary termination of pregnancy (MTP).

METHOD(s)–A retrospective study of 50 cases admitted in our department over the last one year (Jan 2016–dec 2016)

RESULTS: The termination of pregnancy was done by untrained persons in 95% of cases. The presenting symptoms foul smell vaginal discharge (100%), fever (100%) and abdominal pain (96%). Septic abortions were more common in grandmultiparas (62%). The most common complication was generalized peritonitis (66%). Septic shock was seen in 30%. Surgical treatment was opted in 50 of cases which included evacuation and laparotomies combined with different procedure. Eight patients (16%) died. Fisher’s test was used for statistical analysis.

CONCLUSION: Voluntary termination of pregnancy (MTP) should be performed in authorized centers only. Education of masses about easy availability and accessibility of MTP services is needed.