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Septic abortion

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A septic abortion is a spontaneous abortion associated with an infected uterine cavity. It most often follows an incomplete abortion which has become infected with vaginal or bowel organisms. An attempt at illegal abortion should be suspected. There is a risk of spread of infection. Generalised peritonitis, septicaemia or renal failure may result.

Clinical presentation:

  • febrile and very ill
  • often there is an offensive vaginal discharge

Diagnosis:

  • HVS
  • MSU and blood cultures
  • kidney function, liver function and coagulation status

Management:

  • resuscitate
  • administer antibiotics
  • evacuate
  • closely monitor progress

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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