Abortions

Question 1

C/F of septic abortion

Answer 1

Period of amenorrhoea

Fever

Abdominal pain

Vomiting, Diarrhoea

Purulent discharge & bleeding PV

Question 2

Complications of septic abortion

Answer 2

Septicemia & septic shock

ARDS

ARF

DIC

Generalised peritonitis

Question 3

Septic abortion - Clinical signs

Answer 3

Vitals - Tachycardia, hypotension, pyrexia

Pallor

P/A - abdominal tenderness, distension, guarding or rigidity

P/V - foul smelling purulent discharge, soft cervix with open internal os, tender fornices

In c/o pelvic abscess - spiky fever, mucous diarrhoea, soft boggy mass

Evidence of uterine perforation & bowel injury

Question 4

Sequelae of Septic abortion

Answer 4

Chronic pelvic pain

Tubal block & infertility

Question 5

Indications for exploratory laparotomy in septic abortion

Answer 5

Uterine perforation with suspected bowel injury

No response to evacuation & medical therapy

Generalised peritonitis with intraabdominal abscesses

Question 6

Septic abortion

Answer 6

Infection of the products of conception & uterus

Can occur as effect or cause of abortion