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ABORTION AND POSTABORTION CARE

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

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  1. ABORTION AND POSTABORTION CARE George J. Chonongera–Kasungu DHO Peter Sosiwa – Ntcheu DHO Henderson Lomosi–Mzimba North DHO

  2. GOAL • To equip learners with knowledge and attitude in the management of women with abortion.

  3. 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

  4. Specific objectives cont’ • state complications of abortion

  5. 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.

  6. CLASSIFICATION OF ABORTION • Threatening abortion • Inevitable abortion • Incomplete abortion • Complete abortion • Missed abortion • Septic abortion • Criminal abortion

  7. Complications of abortion • Haemorrhage • Septicaemia • Bacteraemia shock with rigors, nausea, vomiting, diarrhoea, hypotension, confusion, delirium and coma • Renal failure • Secondary infertility • Death

  8. 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

  9. 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

  10. 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

  11. 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.

  12. SUMMARY • Definition of abortion • Described the classification of abortion • Explained the general management of woman with abortion • State complications of abortion

  13. SUMMARY • Definition of abortion • Described the classification of abortion • Explained the general management of woman with abortion • State complications of abortion THANK YOU

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