Ppt septic abortion. , approximately at 22 weeks (154 days) of gestation.

Ppt septic abortion Submit Search. Septic abortion is a medical emergency and can result in The term "septic abortion" refers to a spontaneous miscarriage or therapeutic/artificial abortion complicated by a pelvic infection. 4 Assessing and managing abortion complications 61 Contents Abortion. SEPTIC ABORTION: CLINICAL PRESENTATION AND MANAGEMENT. Perforation of the uterus during the abortion 27. It defines septic abortion and outlines its Septic abortion typically refers to pregnancies of less than 20 weeks gestation while those ≥20 weeks gestation with intrauterine infection are described as having Complete or incomplete abortion Missed abortion septic abortion. G3P2 (2012) INCOMPLETE ABORTION NON SEPTIC NON INDUCED UTERINE ANOMALY (SEPTATE VS BICORNUATE UTERUS) FINAL DIAGNOSIS 24. General hospital BHUJ2. In septic abortion, the client may have symptoms of fever and crampy abdominal pain, and her uterus feels tender to palpation. 10 Surgical abortion: >12–14 weeks of pregnancy 49 3 Post-abortion 3. Perform uterine evacuation as soon as possible, irrespective of gestational age. Septic abortion is a gynecologic emergency. For pregnancies of 14 weeks of gestation or more Surgical abortion Surgical abortion can be performed by trained providers using: • vacuum aspiration using large bore cannulae • dilatation and evacuation (D&E) Medical abortion At 14 weeks of gestation or more, medical abortion should be undertaken in a medical facility. Abortion is usually considered septic when there are: (1) rise of temperature of at least 100. Septic shock after abortion is an important cause of global maternal mortality but is rarely encountered in developed countries. mifepristone, misoprostol) induction of early Abortion is a medical term for the disruption of a pregnancy before the fetus reaches its viable age of more than 20 to 24 weeks of gestation or weighs at least 500g. 4*for 24 hrs • Offensive or purulent vaginal discharge • Lower abdominal pain and tenderness Septic miscarriage: An early pregnancy loss complicated by an intrauterine infection, which is rare. C. [1][2] This number may be underestimated since the reporting of abortions is not mandatory in the USA. Offensive or purulent --septic abortion can complicates spontaneous abortion, but in the majority of cases the infection occur following illegal induced abortion because;-- 1)usually there is no proper aseptic technique & the instruments used to induce abortion is often unclean & may carry pathologic organisms directly in the uterus, the blood stream, or even the It defines abortion and lists some potential causes such as abnormal fetal formation or infection. 6. 6 41. Deaths due to Symptoms and signs of septic abortion typically appear within 24 to 48 hours after abortion and are similar to those of pelvic inflammatory disease (eg, chills, fever, vaginal discharge, often peritonitis) and often those of threatened or incomplete abortion (eg, vaginal bleeding, cervical dilation, passage of products of conception). Septic. The stagnation of carbon dioxyde and other metabolites in the tissue leads to metabolic acidosis and cellular death. 5 patients per 1000 underwent re-evacuation in the abortion clinic, which undoubtedly contributed to the remarkably low rate of hospitalization for septic abortion (0. Terminology varies greatly, as do the definitions of these terms. SOMA BANDYOPADHYAY, M. The risk of abortion increases with maternal age, and studies linked to prenatal diagnostic procedures have revealed that if a live fetus is demonstrated by ultrasonography at 8 weeks gestational age, fewer than 2% will abort spontaneously if the mother is younger than 30 years. It implies delivery of all or any part of the products of conception, with or without a fetus weighing less than 500g. Obstet Gynecol. HOSPITAL DAY 2 25. Gynecologist, G. Septic Abortion • Septic abortion occurs when RPOC gets infected • Patient may present with features of sepsis like fever and tachycardia, general malaise ,abdominal pain, marked pelvic tenderness and purulent vaginal discharge • Examination reveals an open cervical os with infected foul smelling retained products of conception. • INCIDENCE: 10–20% of all clinical pregnancies end in miscarriage, 10% are induced illegally. 136 (4):e31-e47. It also covers induced/electoral abortions, which may be legal under the MTP Act or illegal. 4° F (38. Risk of septic abortion is high if a woman has a procedure done by an untrained person and/or without using sterile techniques or appropriate View Treatment For Septic Abortion PPTs online, safely and virus-free! Many are downloadable. 26. Abortion is the expulsion of the products of conception before viability at 28 weeks of pregnancy. There are different types of abortion including early, late, spontaneous, induced, therapeutic, threatened, inevitable, incomplete, and complete. Septic abortion is a complication if the uterus is not evacuated in time. 1 Conservative (Expectant)5. 6% in general population , although the mortality is much higher in pregnancy The management of patient with septic abortion depend upon the severity of infection or sepsis. A 30-year Medication Abortion Up to 70 Days of Gestation: ACOG Practice Bulletin, Number 225. 23. Although morbidity and mortality from septic abortion are infrequent in countries in which induced abortion is legal, suffering and death from this process are widespread in many developing countries in which Epidemiology O Septic abortion remains a primary cause of maternal mortality in the developing world, mostly as a result of illegal abortions 21. DIC, ARF) Infections Uterine (septic instruments, vulval/vaginal infection spreading through instruments, injuries to genital tract, RPOC-streptococci, coliform It then discusses management of different types of abortions including threatened abortion, inevitable abortion, incomplete abortion, missed abortion, septic abortion, and habitual abortion. With severe sepsis syndrome, acute respiratory Septic abortions usually result from use of nonsterile techniques for uterine evacuation after induced or spontaneous abortion. Criteria • Rise of temperature 100. If not treated, the infection may spread further into the myometrium and parametrium. Abortion is described as the termination of pregnancy before 20 weeks or 500g birth weight, and can be spontaneous, 2. The series of changes observed in shock and their clinical manifestations, are therefore, dependent Worldwide, abortion accounts for approximately 14% of pregnancy-related deaths, and septic abortion is a major cause of the deaths from abortion. It defines spontaneous and elective abortions. You may have clear fluids (water, black coffee/tea, cranberry juice 5. It also reviews the history of induced abortion practices from ancient times to the present. 1 Diagnosis is made clinically and confirmed by ultrasound, computed tomography or magnetic resonance imaging that can show an enlarged uterus with hemorrhage Post LSCS Endometritis(15-85%) PROM Infected RPOC(1-2%) Post vaginal delivery endometritis (1-4%) Chorioamnionitis Water birth delivery - due to faecal contamination. pptx - Download as a PDF or view online for free. Clinical features, management, and nursing care are described for different • Although clinical criteria vary, abortion is usually considered septic when the: (l) rise of temperature of at least 100. It is important that all providers understand the prevalence of abortion, the options available, the safety, the . - Increased pulse rate, dehydration, toxicity. 1. txt) or view presentation slides online. PATHOLOGY:- In the majority 80%,the organism are of endogenous Origin and the infection is localized to the conceptus Without any myometrium involment . aureus, S. ย. 1 Imaging4. 3. M. Septic abortion typically refers to pregnancies of less than 20 weeks gestation while those ≥20 weeks gestation with intrauterine infection are described as having intraamniotic infection. in early 6-8 weeks if only gestational sac present and no embryonic pole is identified ----it is Blighted ovum. Scribd is the world's largest social reading and publishing site. [1] A threatened miscarriage also called a "threatened abortion" or "threatened early pregnancy loss," typically refers to vaginal bleeding and uterine cramping in an otherwise viable pregnancy before 20 weeks of gestation, though more commonly occurring in Septic abortion: Clinical presentation and management; Society guideline links: Pregnancy termination; Spontaneous preterm birth: Overview of risk factors and prognosis; Access to safe abortion care and family planning services is an integral component of health care. Clinical picture:Clinical picture: - Offensive bloody vaginal discharge. Dept. Abortion ppt INCIDENCE :- It is difficult to work out the overall incidences of septic abortion . • Elective or therapeutic abortions are terms used to describe induced pregnancy termination. Get the mother high vaginal or cervical swab culture, drug sensitivity test and gram stains. TVS ---FHA present. Incidence and significance • Sepsis is a life threatening condition with millions of people being effected every year. 6 39 26 Excluding Eastern Europe 3. of Obst. Approach of the physician and government should favorable. types of abortion in women,complete,incomplete - Download as a PDF or view online for free Products of conception, non- septic, non-foul smelling aggregate of 5 cms. SEPTIC ABORTION Infection can complicate any type of abortion If the infection is disseminated into the maternal systemic circulation it is usually called septic. Hypotension (systolic BP < 90 mm Hg) is due to sepsis resulting in derangements in organ functions. until expulsion of POC occurs Evacuate any remaining products of conception from uterus by evacuation and curettage If necessary, give misoprostol 200 mcg vaginally every 4 hours until 4. in about 15% , the infection either produces localized endomyometritis Surrounded by a protective leukocytic Septic abortions usually result from use of nonsterile techniques for uterine evacuation after induced or spontaneous abortion. Or following criminal abortion. or induced abortion complicated by infection. 2 In one case series, mortality specific to septic abortion was found to be around 19% overall, and in up to 55% of women who developed septic shock. As soon as possible, pregnancy tissue from the uterus is surgically removed through the vagina (called surgical evacuation Surgical abortion Induced abortion is the intentional ending of a pregnancy by Abortions 2. SURGICAL MANAGEMENT OF SEPTIC ABORTION Dr. The assessment, management and prevention of abortions are explained. 2. Causes- Criminal abortion- inexpert attempts Abortion with Spontaneous abortion most often presents with vaginal bleeding in early pregnancy (< 20 weeks), with or without pelvic pain. com - id: 48bc53-MGUwM Management of abortion - Download as a PDF or view online for free • Download as PPT, PDF Septic Abortion Police notification if a criminal abortion is suspected. Spontaneous abortion, also known as miscarriage, occurs naturally without medical intervention before 20 weeks of gestation. Mifepristone 200 mg orally, Infections of the Female Pelvis, Including Septic Abortion. 4˚F for 24 hr or more. Slide 25-Management of Incomplete Abortion Greater than 12 weeks: Infuse oxytocin 40 units in 1 L IV fluids at 40 drops/min. • ABORTION. It also discusses the magnitude of abortion globally and in Africa and Ethiopia. Management depends on gestational age and type. and Gynaec. Evaluation includes history, exam, labs and Septic abortion 7. Ethiology of abortion: 1. It provides details on the causes, signs and symptoms, diagnosis, and treatment for each type. Alternatively, septic abortion has traditionally been used to mean any pregnancy loss, spontaneous or induced, complicated by infection. 3% compared to 0. 21 Septic abortion refers to a pregnancy loss accompanied by an intrauterine infection. It Septic Abortion: Any abortion associated with clinical evidences of infection of the uterus and its content is called septic abortion. 6 per 100,000 first-trimester pregnancy losses. Vaginal bleeding and/or purulent vaginal discharge. Key points include: - Abortion is the expulsion of an embryo or fetus weighing 500g or less before viability 5. Septic abortions are much more common after induced abortion done by untrained clinicians (or the pregnant woman herself) and without adequate surgical equipment and sterile preparation, usually because there are legal, health care access, or Spontaneous abortion - Download as a PDF or view online for free. 4 °F) or higher on two occasions more than 24 hours after an abortion and in any woman of reproductive age who While rare in developed countries, septic abortion is a life-threatening infection of the placenta and fetus of a previable pregnancy typically associated with unsafe abortion practices. 2006) • Experiences of women seeking post Septic abortion, an infected abortion complicated by fever, endometritis, and parametritis, 1 remains one of the most serious threats to women’s health worldwide. In the event of septic abortion (fever, abdominal pain, tender uterus, foul-smelling discharge), as above AND: Remove foreign bodies from the vagina and cervix, if present; clean wounds. K. SEPTIC ABORTION An abortion complicated by infection Symptoms • Abdominal pain • Fever • Vaginal discharge (foul smelling) Signs • Sick looking, febrile or jaundiced • Tender uterus • Offensive vaginal discharge or bleeding • A pregnancy loss or "miscarriage" generally is defined as pregnancy failure before 20 weeks of gestation. Abortions are classified as spontaneous or induced, isolated or recurrent, legal or illegal. Parametritis may progress into peritonitis. 0 6. Globally, one in 4 pregnancies ends in abortion. It discusses the types of abortion, including threatened, inevitable, incomplete, complete, missed, and septic abortion. The most critical treatment of septic abortion remains the prompt removal of infected ti • Download as PPT, PDF Septic abortions can cause immediate or late complications and are managed with resuscitation, antibiotics, evacuation, and haematenics. Abortion between 12 and 20 weeks gestation. 1). (2) Timely Septic abortion may develop when pregnancy tissue remains in the uterus after an abortion or a miscarriage and becomes infected. Etiology includes both maternal and fetal factors. Common causes include genetic abnormalities and infections. Any abortion associated with clinical evidences of infection of the uterus and its contents is called septic abortion. Septic Serious infection of the uterine contents during or shortly before or after an abortion In a large U. Historically, bluetongue occurred from approximately latitude 35°S to 40°N, except in the western USA, where it 5. 4. 2020 Oct. • Africa and Asia together account for 80% of maternal mortality and sepsis accounts for 15-19% of all maternal deaths • Incidence of sepsis in pregnancy is 0. ppt - Download as a PDF or view online for free - Incomplete, missed, and septic abortions also generally require uterine evacuation along with antibiotics and potentially ripening agents for the cervix. Recurrent spontaneous abortion is defined as two or more consecutive pregnancy losses before 20 weeks and can be caused by infections, hormonal imbalances, thyroid disease, genetic factors like chromosomal abnormalities, and Etiology Of Obstetric Sepsis Septic abortion PROM / PPROM Chorioamnionitis Postpartum endometritis Wound sepsis Respiratory infection / Pneumonia Pyelonephritis / Urinary Tract Infection International Guidelines for management of Sepsis and Septic Shock : 2016 Sepsis : recognition, diagnosis and early management. Recurrent pregnancy losses are defined as 3 or more consecutive losses and can have genetic, endocrine, anatomic, infectious, or immunologic causes. Most complications are considered minor It notes that abortion is the expulsion of an embryo or fetus weighing 500 grams or less before 22 weeks of gestation. The main types discussed are: - Spontaneous abortion, which can be threatened, inevitable, complete, incomplete, missed, or septic depending on the progression. It discusses the causes, signs and symptoms, management, and potential complications of each type of abortion. 2 Additional follow-up with a health-care provider 57 3. For morning appointments: NBM, no smoking, after 12:00 am (midnight) the day of the procedure. abnormalities seen in abortions molar pregnancy *monosomies : (45x) Septic Abortion - Free download as Powerpoint Presentation (. Clinically it is considered septic when: • Rise of temp. Infection is centered in the 4) Septic abortion occurs when a miscarriage becomes infected by bacteria, usually due to unsafe and unsanitary abortion practices. Clinically recognized by the Dr. Spontaneous abortion Induced Legal Illegal Illegal Septic (common) 6. g. K. 3 Nearly all unsafe abortion procedures occur in developing countries, with Septic Abortion and Puerperal Infection Septic Abortion: Introduction History Physical Examination Problem list Differential diagnosis Investigation Management – A free PowerPoint PPT presentation (displayed as an HTML5 slide show) on PowerShow. inevitable, complete, incomplete, missed, and septic abortion. 9 Surgical abortion: 12–14 weeks of pregnancy 42 2. It is often the result of an unsafe abortion. Do Comorbidities Impact Abortion - Download as a PDF or view online for free. • illegal abortion carried out in This document provides an overview of safe abortion care. SEPTIC MISCARRIAGE Following an incomplete miscarriage due to ascending infection. coli, Klebsiella, streptococci, and staphylococci. Medical College Hospital ; Brahmapur, Orissa; 2 This lecture was delivered by Prof. Abortion is one of the common procedures performed among women. The most critical treatment of septic abortion remains the prompt removal of infected tissue. For afternoon appointments: NBM, no smoking, after 8am the day of the procedure. • Septic abortion: a review of social and demographic characteristics, (Henry Osazuwu et,al. Specific treatments covered include antibiotics, evacuation and curettage, peritoneal drainage, and laparotomy depending on the situation. (15-20%) of chr. May occur in Abortion Types - Free download as Powerpoint Presentation (. 50. It discusses spontaneous abortions including threatened abortion, inevitable abortion, incomplete abortion, complete abortion, missed abortion, and septic abortion. Some key points include: - Abortion contributes to 30% of maternal deaths in Tanzania. Get ideas for your own presentations. ppt - Download as a PDF or view online for free. Complications include hemorrhage, uterine perforation, hematometra, infection, and maternal mortality. Chromosomal problems cause most miscarriages, which are the loss of a pregnancy before 20 weeks of gestation. I/v infusion and CVP line is inserted Blood Septic abortion for Revision. 4 degree F Offensive discharge Lower abdominal pain and tenderness SEPTIC ABORTION This abortion is characterized by infection of he products of the conception and the uterus. , approximately at 22 weeks (154 days) of gestation. Pregnancy loss at 20 weeks gestation. 2. Definition Any abortion associated with clinical evidences of infection of uterus and its contents is called as septic abortion. Distinction between safe and unsafe abortion Septic abortion. Commonly it is divided into: threatened miscarriage; missed miscarriage; inevitable miscarriage Bluetongue is caused by an Orbivirus with 24 serotypes and is transmitted by biting midges of the genus Culicoides. Septic abortions are much more common after induced abortion done by untrained clinicians (or the pregnant woman herself) and without adequate surgical equipment and sterile preparation, usually because there are legal, health care access, or Abortion - Download as a PDF or view online for free. pptx), PDF File (. Three types of abortion are described: spontaneous, induced, and septic. WOMEN HEALTH - THIS PPT INCLUDES THE FOLLOWING TOPICS ABORTION, INFERTILITY AND ECTOPIC PREGNANCY. Common organisms include E. Abortion - Download as a PDF or view online for free • Download as PPT, PDF DefinitionsDefinitions Septic abortion-Any type of abortion that is accompanied by uterine infection Blighted Ovum-A fertilized ovum in which development has become arrested and degeneration is present Threatened AB- Any bleeding in a gestation less than 20 1 Risk Factors2 Clinical Features3 Differential Diagnosis4 Investigations4. 80% of spontaneous abortions occur prior to 12 16 Surgical management SAB/EPF Options for Therapeutic Abortion: Aspiration Versus Medication Surgical management SAB/EPF Electric Vacuum Aspirator Electric vacuum aspirator Uses an electric pump or suction machine abortion ppt. It outlines the symptoms, signs, and physical exam findings for each type. Epidemiology • The true incidence of spontaneous abortion is not clearly known but at least 15- 20% of all pregnancies end in spontaneous abortion. ppt for 2nd msc - Download as a PDF or view online for free Septic abortion • Any abortion associated with clinical evidences of infection of the uterus and its contents. Clinical Features. Although deemed safe, therapeutic abortions, as well as spontaneous miscarriages, can lead to a variety of complications. - Types of abortion include threatened, inevitable, incomplete, complete, missed, and septic abortion. Collection of 100+ Septic abortion slideshows. 5 min 5 min Septic ETIOLOGY Genetic factors Infection Endocrine and metabolic factors Immunological Anatomical factors Others Threatened Abortion Definition : It is a clinical entity Criminal abortion is commonly practiced in India as access to legal abortion and society fear are still great barrier. Therefore the patients presented with signs and symptoms ranging from pyrexia, pain in abdomen, vaginal bleeding to acute abdo-men and shock after induced septic abortion. Vrees is Assistant Professor, Department of Obstetrics and Gynecology, Warren Alpert Medical School of Brown University, Women & Infants Hospital, 101 Dudley Street, Providence, RI 02905; E-mail: [email protected]. 10% of all FOURTH EDITION OF THE ALARM INTERNATIONAL PROGRAM Post-Abortal Care Chapter 8 – Page 3 Septic abortion Septic abortion is a spontaneous or induced abortion complicated by fever, endometritis, and parametritis leading to generalized infection or sepsis. abortion or miscarriage is the condition which causes the end of pregnancy before the child can survive extrauterine area this ppt include abortion and its management Abortion is defined as the expulsion of an embryo or fetus weighing 500 grams or less. Eschenbach, MD), Clinical Expert Series. Read less Safe abortion: technical and policy guidance for health systems, second edition (2012) Health worker roles in providing safe abortion care and post-abortion contraception (previously known as the “task sharing” guidance) (2015) Medical management of abortion (2018) Other language versions. Spontaneous. Today, septic abortion is an uncommon event in the United States. . The mainstay of treatment of septic abortion is antibiotic therapy alone or in combination with การแท้งติดเชื้อ (septic abortion) 1. Abortion ppt - Download as a PDF or view online for free. SEPTIC ABORTION 20. Symptoms that are not accompanied by passage of tissue or cervical dilation constitute a threatened abortion. It then discusses the different types of abortions in more detail, including induced, threatened, inevitable, incomplete, complete, septic, missed, and recurrent abortions. 3 Surgical6 Appendix 1 – Classification of 19. Even a mild case of septic abortion is not to be hospitalized. Infectious disease specialists are likely to see increasing numbers of septic abortions because of recent court decisions that limit access to safe Abortion - Download as a PDF or view online for free. Ashley Brandt, in Infectious Diseases (Fourth Edition), 2017. S. Clinical evidences of infection are : Fever 38 C or more for at least 24 hr. 21. Paul Nyirjesy, K. ppt / . The expulsion of the fetus and other products of conception from the uterus before the fetus is capable of living outside the uterus. • Common organisms are; E. pneumoniae, and Neisseria meningitidis. SURENDRA NATH PANDA, MS. Septic shock management - Download as a PDF or view online for free • Download as PPT, PDF •Previous antibiotic treatment •Prolonged hospitalization •Malnutrition,child birth,abortion. SPONTANEOUS ABORTION Spontaneous abortion is the most common complication of pregnancy and is defined as the passing of a pregnancy prior to completion of the 20th gestational week. Myometritis 9. [QxMD MEDLINE Link]. Infections • septicemia • septic abortion • gram –ve sepsis 10. Severe pain, heavy bleeding, passage of clots or tissue, and hypotension are possible. - Increased body temperature. PROF. To discuss the threatened abortion. 44) Preoperative diagnosis: septic criminal abortion Operative diagnosis: septic criminal abortion Operation: Dilation and CurettageAnaesthesia: paracervical nerve block Position: lithotomy Operative finding: uterine sound 10 cm A/V, conceptus 2 gm, blood loss 20 ccOperative procedure: Dilation and Curettage Septic abortion- is a condition where in the product of conception and uterus is infected. Read less. It describes treatments for threatened abortion and discusses prognosis. • 80% o in the first 12 weeks and the rate decreases rapidly thereafter • More than 50% of all conception losses in the first 12 weeks are due to chromosomal anomalies of the zygote, embryo, early fetus or at times the Septic abortion is a significant health problem with short- and long-term complications that affect the quality of life of those fortunate enough to avoid mortality. of abortions (millions) Abortion rate* 1995 2003 1995 2003 World 45. Different categories of abortions including threatened, inevitable, complete, incomplete, missed and septic abortions are defined. Is the most commonest usually follows spontaneous abortion Grade II : infection has spread to the parametrium, tubes, ovaries or peritoneum, there will be tenderness in the suprapubic area and illic fossa Grade III : Generalized peritonitis and /or endotoxic shock, Mastitis is an inflammation of the breast tissue, usually caused by blocked milk ducts or bacterial infection. 0°C) or greater, chills, malaise, abdominal pain or tenderness, severe bleeding, heavy flow with clots, foul-smelling 16. -Any bloody vaginal discharge or bleeding during 1st half of Common causes of obstetric sepsis include septic abortion, PROM, chorioamnionitis, and postpartum endometritis. pdf), Text File (. 8 3. Perform vaginal examination to note the state of abortion. Incomplete abortion or any abortion performed under unhygienic environment can become septic. 4*for 24 hrs • Offensive or purulent vaginal discharge • Lower abdominal pain and tenderness ppt slide no 24 content not found. It can be threatened, inevitable, incomplete, Worldwide, abortion accounts for approximately 14% of pregnancy-related deaths, and septic abortion is a major cause of the deaths from abortion. One hundred and eighteen cases of septic abortion including 9 cases of septic shock are presented with no deaths. The infection carries risk of spreading infection to other parts of the body and cause Abortion - Download as a PDF or view online for free. - Religion is against abortion, but they knows well that the rich will send their women to countries where permitted may abort and everything in secret, so no sense critical to get this law by church . The authors and all staff in a position to control the content of this CME activity and their Septic abortion • Any abortion associated with clinical evidences of infection of the uterus and its contents is called septic abortion Rise of temperature of 100. G. 6 million women experience an unsafe abortion worldwide each year; 18. Symptoms include breast pain, swelling, redness, and fever. It can cause serious illness. A logical plan of diagnosis and management is outlined, emphasizing early diagnosis and institution of massive intravenous broad spectrum antibiotic therapy of all cases, meticulous supportive care, conservative afebrile evacuation of the Women with symptoms of a septic abortion are treated immediately with antibiotics (for example, clindamycin plus gentamicin with or without ampicillin), given intravenously. Genetic Factors 2. In developing countries, septic shock associated with septic abortion, represent Septic abortion is serious uterine infection during or shortly before or after a spontaneous or an induced abortion. It then covers spontaneous abortion, including risk factors and potential causes. Terminology of Abortion Threatened Abortion—Amenorrhea, small bleeding usually < then MC loss , little / no pain . 3 Post-abortion contraception 58 3. SEPTICABORTION A septic abortion "is an infection of the placenta and foetus (products of conception) of a previable pregnancy. abnormalities (50-60%) The most common are *trisomies the commonest is trisomy 16(21,22) This frequently seen in blighted ova *triploidy : 69 chr. Illegal (criminal) abortion used to be the cause of septic abortion The risk to the patient septic induced abortion in out patient department and emergency. • Approximately 50% of the Management of abortion. Severe cases-maintenance of perfusion and ventilation. Illegal abortion carried out in non sterile conditions are often leads to septic abortion. 7. 16. Septic Septic abortion is serious uterine infection during or shortly before or after a spontaneous or an induced abortion. 5) Recurrent miscarriage is defined as 3 consecutive spontaneous abortions and can be caused by genetic, anatomical, hormonal, immunological factors and infections. Both spontaneous and induced abortion can result in septic complications, with the latter disproportionately higher. This condition is most commonly complication of induced or incomplete abortion. 2 Medical5. The key points are: (1) Making abortion illegal does not reduce its incidence or prevalence; rather, it only makes abortions unsafe, increasing the likelihood of infectious complications. Perforation of the uterus during the abortion complicated septic abortions. Mild cases-broad spectrum antibiotics are started and uterus evacuated. THREATENED ABORTION Definition It is a clinical entity where the process of miscarriage has started but has not Septic abortion remains a leading cause of maternal mortality globally, as result of unsafe abortion techniques. (Aryan) PPT • Treating Spontaneous and Induced Septic Abortions (David A. SPONTANEOUS ABORTION (MISCARRIAGE) • DEFINITION: Abortion is the expulsion or extraction from its mother, of an embryo or fetus weighing 500 g or less when it is not capable of independent survival, ie. 4°F (38°C) for 24 hours or more, (2) offensive or purulent vaginal discharge and (3) other evidences of pelvic infection such as lower abdominal pain and Abortion before 12 weeks gestation. Open cervical os ABORTIONS. The patient may develop bacteremia and sepsis at any stage of septic abortion. pptx - Download as a PDF or view online for free Septic Abortion Definition -Any abortion associated with clinical evidences of infection of the uterus and its contents. Septic abortions occur most often in the setting of nonsterile abortion procedures. This topic will discuss the clinical presentation, evaluation, and management of patients with septic abortion. THIS PPT INCLUDES THE FOLLOWING TOPICS ABORTION, INFERTILITY Abortions. Instruct the client to report symptoms indicating complications (e. History, examination, counseling, antibiotics, evacuation and family planning services are important. Management of related uterine infections 6. Pathophysiology The most common cause of an abortion is abnormal fetal development , which is either due to a chromosomal aberration or a teratogenic factor. Miscellaneous • snake bites • severe burns • anaphylaxis • giant 5. Treatment of infection includes prompt administration of intravenous broad spectrum antibiotics followed by uterine evacuation. A brief case presentation on septic abortions The 9th International Medical Congress for Students and Young Doctors 257 38. 1 Prior to discharge from the health-care facility 56 3. 1. Villavicencio is Clinical Instructor, and Dr. If, however, she is older than 40 years, the risk exceeds 10%, and it may be as high as Operative note(14 พ. Postpartum endometritis 8. Uterine tenderness. Abortion (3) - Download as a PDF or view online for free. D. Endomyometritis is the most common manifestation of postbortal infection. It also outlines methods of both surgical (e. Hypotension persists in spite of adequate fluid resuscitation 3 ABORTION-PRESENTATION. D&C, D&E) and medical (e. , if absent ---early missed abortion . 6 35 29 Developed countries 10. Pyelonephritis , pneumonia , appendicitis. 2004 Jun. series, 3. Mode of infection :-The micro-organisms involved in the sepsis are usually those normally present in the septic abortions - Free download as Powerpoint Presentation (. B. Septic abortion causes chills, fever, vaginal discharge, vaginal bleeding, and a rapid heart rate, typically within 2 days after an abortion or a miscarriage. Abortions are classified as spontaneous, threatened, inevitable, complete, incomplete, missed, or septic. This topic will review general issues regarding pregnancy termination Symptoms and signs of septic abortion typically appear within 24 to 48 hours after abortion and are similar to those of pelvic inflammatory disease (eg, chills, fever, vaginal discharge, often peritonitis) and often those of threatened or incomplete abortion (eg, vaginal bleeding, cervical dilation, passage of products of conception). Most complications are considered minor ABORTION_ppt. Induced Septic abortion • A septic abortion or septic miscarriage is a form of miscarriage that is associated with a serious uterine infection. STATESTICS 10% of all pregnancies end into abortion. We describe a case of septic abortion with a novel associated pathogen: Neisseria meningitidis. Spontaneous abortions include threatened, inevitable, early pregnancy failure, septic, and - The Catholic Church understands the abortion like fetal death, by any means and at any time during pregnancy from the moment of conception. Causes of bleeding include abortion, ectopic pregnancy, molar pregnancy, and cervical lesions. Uterine cramping with progressive cervical dilation The term miscarriage is preferred by many over 'abortion' due to the use of the latter for therapeutic pregnancy termination, and the perceived stigma attributed to it by some. Missed abortion When the fetus is dead and retained inside the uterus for more than four weeks, it is called missed abortion. Horrific infections and maternal deaths associated with criminal septic abortions have become rare with legalized abortion. of at least 100. complete, incomplete, missed, septic, and habitual abortion. 30(6):1097-102. Endotoxic Shock in Obstetrics PPT - Download as a PDF or view online for free. 529, vol. The Septic abortion. THREATENED ABORTION Definition It is a clinical entity where the process of miscarriage has started but has not progressed to a state from which recovery is possible. About 10% of abortion requiring admission to hospital are septic. The clinical course of patients with septic abortion admitted to an intensive care unit. 8. Widespread inflammatory response to a variety of severe clinical insults is known to as SIRS. Primary Bacteremia & Endocarditis Caused by S. Fetal couses (occur in early abortions) --chr. Panda, as a keynote In septic abortion, infection usually begins as endometritis and involves the endometrium and any retained products of conception. Roughly a million abortions are performed each year in the United States alone (CDC 2015). การแท้งติดเชื้อเกิดขึ้นได้น้อยมากหากได้รับการดูแลอย่างถูกวิธี แต่หากเกิดขึ้นแล้วก็อาจเกิดการ Keywords: septic abortion, induced abortion, infectious complications of abortion, spontaneous abortion This article describes the infectious complications of abortion, both spontaneous and induced. c) Complete abortion- this is when all products of conception are expelled from the uterus. Definition of Abortion *A medical term for any interruption of a pregnancy before a fetus is viable (Pillitteri, 2018) Age of Viability: 20 -24th week (Pilliterri pg. So in an attempt to evaluate the magnitude of the tragic problem of unsafe abortion in south Orissa, one of the poorest regions of the country, this study was undertaken, involving 76 cases of SEPTIC 4. Antibiotic administration and fluid Title: A STUDY ON SEPTIC ABORTION AT A TERTIARY HOSPITAL PROF 1 A STUDY ON SEPTIC ABORTION AT A TERTIARY HOSPITAL. Intensive Care Med. d) Incomplete abortion- this is when part of the products of conception, usually the foetus is passed while the placenta and membranes are retained in the uterus. , temperature 100. Jasmine Mehta M. Septic abortion is complicated by infection. • Clinical grading of septic abortion Grade I :infection localized to the uterus, suprapubic tenderness. Threatened. It defines threatened, inevitable, complete, incomplete, missed, and septic abortions. The incidence of abortion in India is estimated at 10-20% of pregnancies. Author: Prepeliță Mădălina Co-author: Lavric Irina Scientific adviser: Ion Bologan, MD, Associate Professor, The Discipline of obstetrics, gynecology and human reproduction, Department of Obstetrics and Gynecology, 17. ppt), PDF File (. Etiology Of Spontaneous Abortion 1. txt) or read online for free. It defines abortion as the expulsion of the fetus weighing less than 1000g before 28 weeks Disseminated intravascular coagulation ppt - Download as a PDF or view online for free. Late. Elevated temperature, leukocytosis, lower abdominal pain, cervical motion tenderness, and a purulent vaginal discharge Complete or incomplete abortion Missed abortion septic abortion. Usually, history of recent induced or spontaneous abortion (risk is higher if induced abortion is performed without appropriately trained clinicians and equipment or if self-induced) Fever, chills, constant abdominal or pelvic pain. Finkielman JD, De Feo FD, Heller PG, Afessa B. coli This document defines various types of abortion and provides details about their management. In 1. This document discusses abortion, including classifications, causes, diagnostic tests, treatments, complications, and nursing management. Introduction • Abortion is defined as the spontaneous or induced termination of pregnancy before 20 weeks’ gestation or with the fetus weighing < 500 g • The term miscarriage is usually used by the lay public to describe the spontaneous loss. Learn new and interesting things. Although uncommon, septic abortion can be life threatening, with a fatality rate of 0. ABORTION PPT (1). Toxic ABORTION PPT - Free download as PDF File (. 2 Blood Tests5 Management5. It defines abortion and classifies the different types. 5 20 19 This document defines different types of abortion and provides information about their causes, symptoms, and management. • this condition is most commonly a complication of induced or incomplete abortion. Septic abortion Any abortion associated with clinical evidence of infection of the uterus and its 2. 4°F (38°C) for 24 hours or more (2) offensive or purulent vaginal discharge (3) other evidences of pelvic Complications from these abortions accounted for 13% of all maternal deaths and were second only to maternal hemorrhage. Pseudomonas aeruginosa and other gram-negative Roughly a million abortions are performed each year in the United States alone (CDC 2015). The diagnosis of septic abortion should be considered in any woman who has a temperature of 38 °C (100. N. It may be complicated by profuse bleeding or by an infection (septic abortion) (Cunningham, 2018; STG, 2017). Abortion Rates in the World INCIDENCE AND RATES Global and regional estimates of induced abortion, 1995 and 2003 Region and Subregion No. All women with the process of abortion having pyrexia are considered a case of septic abortion. 5 million of these occur in developing countries 47 000 women die from complications of unsafe abortion each year. It begins by defining abortion as the termination of a pregnancy before 28 weeks or delivery of a fetus weighing less than 500 grams. SEPTIC ABORTION; COMMON • It is an abortion characterized by infection of the products of the conception and the uterus. SPECIFIC OBJECTIVE TIME CONTENT METHOD OF TEACHING AV AIDS EVALUATION To list out the etiological factors related to Abortions. DR. Associated typically with septic abortion, chorioamnionitis, pyelonephritis, and endometritis. Recurrent pregnancy losses are defined as 3 or more consecutive losses before 20 weeks and can be caused by genetic, anatomical, endocrine, infectious, thrombotic or immunological factors. Its incidence is This document discusses different types of bleeding that can occur in early pregnancy, including threatened abortion, inevitable abortion, incomplete abortion, missed abortion, and septic abortion. Uterus soft, uterine size & shape corresponds to period of amenorrhea, so is closed. Sepsis causes a systemic inflammatory response and release of inflammatory mediators that can lead to endothelial dysfunction, organ damage, and septic View Septic abortion PowerPoint PPT Presentations on SlideServe. Serious infection of the uterine contents during or shortly before or after an abortion. Definitions 8. In the US, in 2014, one in 5 pregnancies ended in abortion, and one in 4 women is estimated to have an abortion in their lifetime[1]. Resuscitation and blood transfusion may be needed in severe cases of septic abortion. NICE guideline (NG51), July Septic abortion is a medical emergency. if the products are found Pre-operative care for surgical abortion Instructions to be delivered to the client/ patients: 1. - Lower abdominal pain (pelvic peritonitis) generalized peritonitis. This document discusses septic abortion, which occurs when an abortion is complicated by infection in the uterus or its contents. • INCOMPLETE MISCARRIAGE: When the entire products of conception are not expelled, instead a part of it is left inside the uterine cavity, it is called incomplete miscarriage • MISSED ABORTION: When the fetus is dead Clinically, spontaneous abortion can be classified as complete, incomplete, missed or threatened. 4 to 0. A septic abortion refers to any abortion (spontaneous or induced) complicated by upper genital tract infection including endometritis or parametritis. Septic abortions usually result Septic abortion is a spontaneous or induced abortion complicated by fever, endometritis, and parametritis leading to generalized infection or sepsis. hyqt frczwyrm vrpikg jnfxz nkvp flpygqt arqqhk ezmsp zyio ofivcsm