George J. Chonongera–Kasungu DHOPeter Sosiwa – Ntcheu DHO

Henderson Lomosi–Mzimba North DHO

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

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

state complications of abortion

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.

Threatening abortion Inevitable abortion Incomplete abortion Complete abortion Missed abortion Septic abortion Criminal abortion

Haemorrhage Septicaemia Bacteraemia shock with rigors, nausea,

vomiting, diarrhoea, hypotension, confusion, delirium and coma

Renal failure Secondary infertility Death

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

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

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

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.

Definition of abortion Described the classification of abortion Explained the general management of

woman with abortion State complications of abortion

Definition of abortion Described the classification of abortion Explained the general management of

woman with abortion State complications of abortion

THANK YOU