Saturday, 14 November 2015

Intestinal Injury in Illegal Abortion – A Case Report

Abstract Unsafe abortion represents a preventable yet major cause of maternal mortality and morbidity in India. Majority of these unsafe abortions are carried out by untrained persons and in unhygienic environment so leads to complication requiring tertiary care. Unsafe abortions are more common in countries with restricted abortion laws than the countries allow abortions. It is mainly observed in low socio-economic and especially in rural areas of developing countries. It is usually carried out by sharp metallic instrument, a common practice by untrained personnel. They do not have proper training and knowledge of anatomy of reproductive organs leading to various complications like infection, bleeding and even perforation of uterus. Uterine perforation, some time involve urinary bladder or intestine also. Intestinal injury, although a rare complication but not rare in India, occurs when uterus is perforated through its posterior wall. Here, a case of unsafe abortion with a posterior uterine wall perforation, injury to the illeum and septic peritonitis and its consequences and preventive measures were discussed. It was found that as in this present case lack of education, social stigma attached to abortion, female feticide and law to restrict abortion compelled her to seek illegal methods for termination of pregnancy by unskilled personnel. So to prevent these unsafe abortions proper health education, awareness about various methods of contraception and easy accessibility to safer methods of abortion should be promoted.

Key words: Maternal mortality, Unsafe abortion, Intestinal injury, Uterine wall perforation

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