感染性流产的结局：一家三级医疗医院的经验
The outcome of septic abortion: a tertiary care hospital experience.
作者信息
Sreelakshmi U, Thejaswini J, Bharathi T
机构信息
Vydehi Institute of Medical Sciences and Research Centre, No. 82, EPIP Area, Whitefield, Bangalore, 560066 India.
Department of OBG, S. V. Medical College, Tirupathi, 571507 A.P. India.
出版信息
J Obstet Gynaecol India. 2014 Aug;64(4):265-9. doi: 10.1007/s13224-014-0509-4. Epub 2014 Mar 19.
OBJECTIVE
To study the incidence of septic abortion, reasons for that, sociodemographic profile, abortion providers, complications faced, and treatment given and its outcome.
METHODS
All the women with septic abortion admitted at Government Maternity Hospital, Tirupathi, over a period of 2 years 4 months duration from July 2007 to October 2009 were studied prospectively.
OBSERVATIONS AND RESULTS
Incidence of septic abortion in our study was 6.78 %. 72 % of cases were performed by qualified medical personnel. Fourteen patients had complications, among them peritonitis, pelvic abscess, renal failure, and septic shock were common. Twenty-six patients had Grade-I sepsis, Grade-II: 8, Grade-III: 4, and Grade-IV: 4. Laparotomy was done in six cases. There was no mortality in our study.
CONCLUSION
The tragedy of septic-induced abortion is totally preventable. It only needs definitive commitment to women's health by providing effective contraception, strengthening the family welfare services, and discouraging repeated terminations of pregnancy as contraceptive method.
目的
研究感染性流产的发生率、原因、社会人口学特征、流产提供者、所面临的并发症、给予的治疗及其结果。
方法
对2007年7月至2009年10月期间在蒂鲁伯蒂政府妇产医院住院的所有感染性流产妇女进行了为期2年4个月的前瞻性研究。
观察与结果
我们研究中感染性流产的发生率为6.78%。72%的病例由合格医务人员进行。14例患者出现并发症，其中腹膜炎、盆腔脓肿、肾衰竭和感染性休克较为常见。26例患者为I级败血症，II级：8例，III级：4例，IV级：4例。6例患者接受了剖腹手术。我们的研究中无死亡病例。
结论
感染性流产悲剧是完全可以预防的。这只需要通过提供有效的避孕措施、加强家庭福利服务以及不鼓励将重复终止妊娠作为避孕方法，来对妇女健康做出明确承诺。
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