Prevalence of infectious abortion and its complications in pregnant women hospitalized in Ardabil city hospital during 2011-2018
DOI:
https://doi.org/10.18203/2349-3291.ijcp20210648Keywords:
Infectious abortion, Gestational age, Ardabil, Pregnant womenAbstract
Background: Infectious abortion and its mortality is one of the most serious health threats to women. Infectious abortion with high prevalence rate is more accessible in many of developing countries. The aim of current study, was to investigate the prevalence of infectious abortion and its complications in pregnant women hospitalized in Ardabil city hospital during 2011-8.
Methods: In this retrospective cross-sectional study which done on pregnant women with symptom of infectious abortion who admitted to Alavi hospital in Ardabil city during the years 2011-2018. Data collected by a checklist including demographic and clinical information and then analyzed by statistical methods in SPSS version 20.
Results: The rate of infectious abortion in this study was 40 people per 50,000 live births. The mean age of the studied women was 32.58±5.35 years. The highest number of infectious abortion was related to the women in the gestational age group over 13 weeks (50%). Most of women with 80% had fever and 52.5% of women had an open cervix at the time of referral. Complications of infectious abortion included peritonitis, uterine rupture, septic shock, and DIC.
Conclusions: Results showed that the rate of infectious abortion in this study was 22.5% that generally due to manipulation by methods such as curettage, drug use and its side-effects. By considering the average age of women about 32 years and problems related about pregnancy, so programing and training in this themes could prevent many of these problems in pregnant women in future.
References
Horsager R, Roberts SW, Rogers VL, Santiago-Muñoz PC, Worley KC, Hoffman BL. Williams obstetrics, study guide. United States: McGraw Hill Professional; 2014.
Gibbs RS, Karlan BY, Haney AF, Nygaard IE. Danforth's obstetrics and gynecology. Philadelphia: Lippincott Williams & Wilkins; 2008.
Meybodi MAK, Taheripanah R. Infections in recurrent miscarriage. J Reprod Infertil. 2000;1(2): 41-9.
Kistner RW, Ryan KJ, Berkowitz RS, Barbieri RL. Kistner's gynecology: Principles and practice. United States: Mosby Inc; 1995.
Simpson JL, Mills JL, Kim H, Holmes LB, Lee J, Metzger B, et al. Infectious processes: an infrequent cause of first trimester spontaneous abortions. Human reprod. 1996;11(3):668-72.
Summers PR. Microbiology relevant to recurrent miscarriage. Clin Obstet Gynecol. 1994;37(3):722-9.
Shearer W, Reuben J, Lee BN, Popek E, Lewis D, Hammill H, et al. Role of placental cytokines and inflammation in vertical transmission of HIV infection. Acta Paediatr. 1997;86(S421):33-8.
Kistner RW, Ryan KJ, Berkowitz RS, Barbieri RL. Kistner's gynecology: Principles and practice. United States: Mosby Inc; 1995.
Stubblefield PG, Grimes DA. Septic Abortion. New Eng J Med. 1994;331(5):310-5.
Cates W, Rochat RW, Grimes DA, Tyler CW. Legalized abortion: effect on national trends of maternal and abortion-related mortality (1940 through 1976). Am J Obstet Gynecol. 1978;132(2): 211-4.
Scott J. Early pregnancy loss. Danforth's obstetrics and gynecology. Philadelphia: Lippincott Williams & Wilkins; 1999:175-85.
Guin G, Gupta A, Khare S, Chandra M, Kalkar S. A study of septic abortions: trends in a tertiary hospital. J Obstet Gynecol Ind. 2005;55(3):257-60.
Zamani M. Evaluation of septic abortion in two 70 and 80 decays in Hamadan Fatemieh hospital. Iran J Obstet Gynecol Infertil. 2015;18(149):1-7.
Waterstone M, Murphy JD, Bewley S, Wolfe C. Incidence and predictors of severe obstetric morbidity: case-control study commentary: Obstetric morbidity data and the need to evaluate thromboembolic disease. BMJ. 2001;322(7294): 1089-94.
Acosta CD, Knight M, Lee HC, Kurinczuk JJ, Gould JB, Lyndon A. The continuum of maternal sepsis severity: incidence and risk factors in a population-based cohort study. PloS One. 2013; 8(7):521-30.
Kramer HM, Schutte JM, Zwart JJ, Schuitemaker NW, Steegers EA, van Roosmalen J. Maternal mortality and severe morbidity from sepsis in the Netherlands. Acta Obstet Gynecol Scand. 2009;88 (6):647-53.
Sh N, Movahed F, Shakibazadeh E. Study of epidemiology of septic abortion in Mirza Koochak Khan Hospital, 1990-94. Tehran Univ Med J. 1998; 56(3):29-32.
Acosta CD, Kurinczuk JJ, Lucas DN, Tuffnell DJ, Sellers S, Knight M. Severe maternal sepsis in the UK, 2011–2012: a national case-control study. PLoS Med. 2014;11(7):455-9.
Vlaminckx B, Van Pelt W, Schouls L, Van Silfhout A, Mascini E, Elzenaar C, et al. Long-term surveillance of invasive group A streptococcal disease in The Netherlands, 1994-2003. Clin Microbiol Infect. 2005;11(3):226-31.
Osazuwa H, Aziken M. Septic abortion: a review of social and demographic characteristics. Arch Gynecol Obstet. 2007;275(2):117-9.
Zamani M. Evaluation of septic abortion in two 70 and 80 decays in Hamadan Fatemieh hospital. IJOGI. 2015;18:1-7.
Sharma J, Manaktala U, Kumar A, Malhotra M. Complications and management of septic abortion, a five year study. J Obstet Gynecol India. 2001;51:74-6
Konje J, Obisesan K, Ladipo O. Health and economic consequences of septic induced abortion. Int J Gynecol Obstet. 1992;37(3):193-7.
Richards J. The incidence of major abdominal surgery after septic abortion-an indicator of complications due to illegal abortion. S Afr Med J. 1985;68(11):799-800.
Boulay Cd, Medway C. The clinical skills resource: a review of current practice. Med Edu. 1999;33(3): 185-91.
Draycott T, Sibanda T, Owen L, Akande V, Winter C, Reading S, et al. Does training in obstetric emergencies improve neonatal outcome?. Int J Obstet Gynaecol. 2006;113(2):177-82.
Altıntepe L, Gezginç K, Tonbul HZ, Çelik Ç, Güney İ, Gezginç ST, et al. Etiology and prognosis in 36 acute renal failure cases related to pregnancy in central Anatolia. Eur J Gen Med. 2005;2(3):110-3.