?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Safe+abortion+%E2%80%93+Still+a+neglected+scenario%3A+A+study+of+septic+abortions+in+a+tertiary+hospital+of+Rural+India&rft.creator=Bhattacharya%2C+S&rft.creator=Mukherjee%2C+G&rft.creator=Mistri%2C+P&rft.creator=Pati+%2C+S&rft.subject=Online+Journal+of+Health+and+Allied+Sciences&rft.description=Background+and+Aims%3A+In+spite+abortion+has+been+legalized+in+India+over+three+decades%2C+unsafe+abortion+continues+to+be+a+significant+contributor+of+maternal+mortality+and+morbidity.+The+aim+of+the+present+study+is+to+assess+the+magnitude+of+septic+abortion+in+a+tertiary+care+hospital+over+a+period+of+three+years+with+a+special+emphasis+on+maternal+mortality+and+morbidity+and+various+surgical+complications.+Settings+and+Design%3A+Retrospective+study+of+patients+who+were+admitted+with+unsafe+abortions+over+a+three+year+period+from+2005+to+2008+in+a+tertiary+teaching+Hospital+of+Rural+India.+Materials+and+Methods%3A+Hospital+records+of+the+patients+who+were+admitted+with+unsafe+abortion+in+three+years+(2005-2008)+were+reviewed+to+evaluate+the+demographic+and+clinical+profile+in+relation+to+age%2C+parity%2C+marital+status%2C+indication+of+abortion+%2C+the+methods+of+abortion+%2Cqualification+of+abortion+provider+complications+and+maternal+mortality.+Results%3A+Unsafe+abortion+constitutes+11.6%25+(+n%3D132)+of+total+abortion+cases+admitted+over+3+years.+Majority+of+women+(70.45%25)+were+in+their+thirties%2C+married+(89%25).Sixty+percent+wanted+abortion+for+birth+spacing.+Abortion+methods+included+various+primitive+methods+(30%25)+but+majority+by+dilatation+and+evacuation.+About+60%25+of+abortionists+were+unqualified.+Majority+of+women+admitted+with+serious+complications+like+peritonitis+(70%25)%2C+visceral+injuries+(60%25)%2C+hemorrhagic+and+septic+shock%2C+renal+failure+(17.4%25)%2C+and+life+threatening+conditions+like+DIC%2C+hepatic+failure+and+encephalopathy.+A+total+of+231+women+died+of+unsafe+abortion+making+it+12.55%25+of+total+maternal+mortality+in+our+institution.+Out+of+73+women+requiring+laparotomy%2C+22%25+were+done+within+24+hours+of+admission+and+majority+(49%25)+were+performed+beyond+24-48+hours.+Interestingly+no+women+died+when+early+aggressive+surgery+was+done.+Conclusion%3A+The+present+study+confirms+that+unsafe+abortion+is+a+great+neglected+health+care+problem+leading+to+a+considerable+loss+of+maternal+lives.+Education++and+accessibility+of+contra+caption%2C+readily+available%2C+quality+abortion+services+by+trained+abortion+providers+remain+the+key+to+limit+mortality+and+morbidity+arising+from+unsafe+abortion.&rft.publisher=Dr.+B.S.+Kakkilaya&rft.contributor=Kakkilaya%2C+Dr+Srinivas&rft.date=2010-07-30&rft.type=Journal+(On-line%2FUnpaginated)&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.identifier=http%3A%2F%2Fcogprints.org%2F7006%2F1%2F2010-2-7.pdf&rft.identifier=++Bhattacharya%2C+S+and+Mukherjee%2C+G+and+Mistri%2C+P+and+Pati+%2C+S++(2010)+Safe+abortion+%E2%80%93+Still+a+neglected+scenario%3A+A+study+of+septic+abortions+in+a+tertiary+hospital+of+Rural+India.++%5BJournal+(On-line%2FUnpaginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F7006%2F