关键词: Case report Illegal abortion Incomplete abortion Unsafe abortion Uterine rupture

来  源:   DOI:10.1016/j.amsu.2022.104933   PDF(Pubmed)

Abstract:
UNASSIGNED: Unsafe abortions are more prevalent in developing countries and countries with restrictive abortion laws, and can lead to significant maternal mortality. Usually, the presentation includes abdominal pain, fever and vaginal bleeding.
UNASSIGNED: We reported the case of a female in her twenties in her second trimester of pregnancy following unsafe abortion. The patient had abdominal pain, and laboratory investigations revealed anemia and leucocytosis. The patient opted for abortion as the foetus was identified as female by a service provider. Due to unsafe and illegal abortion, the patient developed complications of incomplete abortion and uterine rupture. She was successfully managed by emergency laparotomy followed by repair of uterine rupture and symptomatic management.
UNASSIGNED: Unsafe abortion can lead to complications such as incomplete abortion and uterine rupture. Complications due to abortion are more frequent if not performed by experienced surgeons. In our case, the manual vacuum and aspiration technique was used during the second trimester of pregnancy, which led to uterine perforation.
UNASSIGNED: Our case highlighted the importance of safe abortion practices and the approach to clinical management of complications of unsafe abortion. Also, global health problems such as unsafe abortion, illegal abortion, sex-selective abortion, and violation of ethical conduct need to be addressed to curb unsafe abortion.
摘要:
未经评估:不安全堕胎在发展中国家和有限制性堕胎法的国家更为普遍,并可能导致大量孕产妇死亡。通常,介绍包括腹痛,发烧和阴道出血。
未经评估:我们报道了一例二十多岁的女性在妊娠中期因不安全流产而怀孕的案例。病人腹痛,实验室调查显示贫血和白细胞增多。患者选择堕胎,因为服务提供者将胎儿确定为女性。由于不安全和非法堕胎,患者出现不完全流产和子宫破裂的并发症。她通过紧急剖腹手术成功治疗,然后进行子宫破裂修复和对症治疗。
UNASSIGNED:不安全流产可导致不完全流产和子宫破裂等并发症。如果不是由有经验的外科医生进行,流产引起的并发症会更常见。在我们的案例中,在妊娠中期使用手动真空抽吸技术,导致子宫穿孔.
UNASSIGNED:我们的案例强调了安全流产实践的重要性以及不安全流产并发症的临床处理方法。此外,全球健康问题,如不安全堕胎,非法堕胎,选择性流产,需要解决违反道德行为的问题,以遏制不安全的堕胎。
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