Induced Abortion and its complications
International Journal of Current Research and Academic Review
Article Info To study characteristics of women undergoing induced abortion and associated complications. Case series study. Department of Obstetrics and Gynecology of Lahore General Hospital, Pakistan. 100 patients of reproductive age providing history of induced abortion during a period of 1 year 3 months were included in study and statistically analyzed. Mean age of the patients was 31.02±5.83 years (18-45 years). Most of the study population (98%) comprised of married, multi parous women
... ti parous women (mean parity 4.95±2.12 children). Those who procured abortion during 1 st trimester of pregnancy were 86%. Induced abortions were mostly carried out (61%) by Dais (traditional birth attendants) while 15% and 10% by local lady health visitors and nurses respectively. In 2% of cases doctors induced abortion and 2% were selfinduced. 10% did not disclose the operator. Vaginal bleeding is the most common symptom, present in 82% of cases followed by abdominal pain in 51% and fever in 24%. Most frequent complication was anemia (96%), followed by hypo volumic shock (57%).Sepsis was present in 55% of cases, peritonitis in 19%, renal failure in 19%, disseminated intravascular coagulation in 11%, hepatic dysfunction in 6%of cases and direct maternal death in 3%. Married multi parous women who already completed their families are the main who go for pregnancy termination. Induced abortions are mostly performed by untrained personnel in unhygienic conditions. Delay in reporting to hospital results in morbid complications.