CLINICAL PRESENTATION IN DIFFERENT TYPES OF ABORTION ATTENDED IN A TERTIARY HOSPITAL

Dr. Shahnaz Ahmed*, Dr. Md. Abul Hasnat, Dr. Mohammad Abul Khair, Dr. Khaleda Jahan, Dr. Farhana Haque Choudhury and Dr. Md. Shafiqul Islam

ABSTRACT

Background: In Bangladesh approximately half of the admissions of major urban hospitals are. due to complications of abortion. In our country the abortion related death was found to be 21% of total maternal death. In years 1992-94 abortion related death was 14.8% in our country. In another study it was seen that mortality due to abortion account one third of the pregnancy related deaths. Objective: To assess clinical presentation in different types of abortion attended in hospital. Method: For this study 100 patients of abortion were selected on a random pattern. Special importance has been given on finding out the incidence and prevalence of abortion with respect to their age, socioeconomic status, and parity. Then attempts have been made to find out aetiology. Results: The mode of management of abortion patients in MMCH has been analysed with their outcome. In this study it has been seen that around 47.8% of gynaeclogy unit are of abortion. Though majority is of spontaneous abortion, septic abortion patients are the most critical ones. The majority of cross section of patients is illiterate and very poor. These are the patients who come to the hospital after complications have taken place. Conclusion: Complications of abortion are preventable if the patients are made aware about the grave consequences of abortion and appropriate health services are extended at field levels.

Keywords: Spontaneous abortion, septic abortion, aetiology.