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ABORTION AND POSTABORTION CARE. George J. Chonongera–Kasungu DHO Peter Sosiwa – Ntcheu DHO Henderson Lomosi–Mzimba North DHO. GOAL. To equip learners with knowledge and attitude in the management of women with abortion. Specific objectives.
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ABORTION AND POSTABORTION CARE George J. Chonongera–Kasungu DHO Peter Sosiwa – Ntcheu DHO Henderson Lomosi–Mzimba North DHO
GOAL • To equip learners with knowledge and attitude in the management of women with abortion.
Specific objectives • By the end of the session, learners should be able to: • define abortion • describe the classification of abortion • explain the general management of woman with abortion
Specific objectives cont’ • state complications of abortion
Definition • Abortion is the termination of pregnancy by any means, resulting in expulsion of an immature nonviable foetus of less than 28 weeks. • Abortion can be early or late depending on gestation, early up to 12 weeks gestation and late between 13-28 weeks gestation.
CLASSIFICATION OF ABORTION • Threatening abortion • Inevitable abortion • Incomplete abortion • Complete abortion • Missed abortion • Septic abortion • Criminal abortion
Complications of abortion • Haemorrhage • Septicaemia • Bacteraemia shock with rigors, nausea, vomiting, diarrhoea, hypotension, confusion, delirium and coma • Renal failure • Secondary infertility • Death
Management of a woman with abortion General management of abortion • The woman with abortion must be admitted to gynaecological ward for close observation and treatment • History taking to obtain possible aetiological factors together with details of bleeding, pain and products of conception expelled • Perform a full physical examination
General management of abortion cont’ • Check and record vital signs i.e. temperature, pulse, respiration and blood pressure • Observe aseptic technique when performing vaginal examinations • Provide pads to observe severity of blood loss
General management of abortion cont’ • Put up intravenous fluids if the woman is bleeding severely i.e. normal saline, ringers lactate • If necessary Check Hb, grouping and cross matching and arrange for blood donor • Give antibiotics to treat infection in case of septic abortion
General management of abortion cont’ • MVA is the method of choice for the management of incomplete or inevitable abortion for gestation of 14 weeks or less, because it has fewer complications compared to curettage.
SUMMARY • Definition of abortion • Described the classification of abortion • Explained the general management of woman with abortion • State complications of abortion
SUMMARY • Definition of abortion • Described the classification of abortion • Explained the general management of woman with abortion • State complications of abortion THANK YOU