Toxic-Septic Abortion and its Severe Complications, Frequently Lethal

摘要

The complexity of medical and social aspects of human reproduction is well-known. Social, economic factors, family, culture, legal institutions, political and religious convictions condition the psychology of the individual and his attitude towards reproduction. Abortion was seen over time as a sensitive multi-faceted issue. It is a demographic issue, as too many abortions led to imbalances in population structure, birth rate decrease and prevalence of older ages over younger ones and is the main cause of maternal mortality. It is an economic issue because abortions led to lower production capacities and extended leaves of absence. By its lethal risks, infertility involved, extrauterine pregnancies, miscarriages, mostly in younger women, abortion is a topical medical issue. With regard to the mentality it determined in relations between sexes, it is also an ethical issue. This subject matter is tackled as there are scores of induced septic abortions, maternal deaths and severe complications, which shows that women need to be made aware of all the risks and implications of abortion. This study comprises the analysis of 23 cases of septic abortions admitted in Clinic of Obstetrics and Gynecology from January 2011 to December 2015. In relation to age, septic abortion is most frequently met in young women, its rate decreasing with age; the largest number of cases was met in the age group 25-29 years, with a peak at 25 years, correlated to the period when intercourse is most intense. Complications of toxic-septic abortion depend on the nature of toxicity, dose, local intrauterine maneuvers, virulence of germs, body resistance and timely treatment. Immediate complications are often the cause of death, the late ones frequently generate local sequelae: chronic genital diseases, amenorrhea, infertility, uterine synechiae.