SEPTICEMIA;

AS A SEQUEL OF INDUCED MISCARRIAGE

Abstract

Induced Miscarriage is defined as the elective termination of pregnancy before 24 weeks of gestation. Objectives: To determine
the frequency of sepsis associated with induced Miscarriage. Study Design: Cross-sectional survey. Setting: Department of Obstetrics and
Gynaecology, Unit-II, Ghurki Trust Teaching Hospital, Lahore. Duration of Study: Six months from 25-12-08 to 24-06-09. Materials and
Methods: Total 110 cases were taken. Complete history including parity and mode of admission was taken. All information was recorded on
specially designed proforma. Results: A large number of patients turned out to be para 3-4 i.e. 87 (79%), 15 cases (13.7%) had the parity
between 5-7 and only 8 cases (7.3%) were para 1-2 (Table-I).On analyzing the mode of admission it was found that 50 (45.4%) patients were
admitted through out-patient department. 60 cases (54.6%) were admitted through emergency (Table-II). Finally the frequency of sepsis
amongst women presenting with Miscarriage was calculated and it was found to be 25 (22.7%). 85 (77.3%) cases did not show any evidence of
sepsis (Table-III). Conclusions: Illegal Miscarriages are a major contribution to septic morbidity leading to a large number of maternal deaths
which is a dilemma in under developed countries like ours. Better public awareness and access to contraceptive measures has a definite role to
play in improving the outcome.