Septic abortion:Any abortion associated with clinical evidences of infection of the uterus & its contents,is called Septic abortion.
Management of septic abortion:
Diagnosis
A.Symptoms :
1.may be fever associated with chills & rigor
2.may be complain of lower abd pain
3.foul swelling vaginal discharge
4.Bleeding due to coagulation failure
B.Sign:
1.The pt may look toxic and pale
2.There may be rise of temperature
3.The abd may be tenderness, Distention, rigidity
4.Bowel sound may be present or not be present
5 Per vaginal examination
*Foul smelling discharge
* the products may or may not hanging through the open cervix
* injury of cervix or vagina
Investigation:
1Vaginal swab or cervical C/S
2.Blood for TC, DC, ESR ,blood C/S
3.URINE examination
4.Usg of W /A pelvic organ
5.coagulation profile may show low fibrinogenfibrinogen
Treatment :
1.Hospitalization & should be kept in isolation
2.Collection of high vaginal swab for C/S
3.Broad spectrum antibiotic
Ex -Metromidazole,Gentamicin
4.Blood transfusion if needed
5.Analgesics of required
6.Evacuation & curettage of the uterus G/A
Treatment of complications:
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