review of septic induced abortion cases in one year at Khyber teaching hospital, Peshawar

Working in a tertiary level hospital we get complicated cases as a result of termination or attempts at termination of unwanted pregnancies. Most of the patients that we get are complicated and need expensive treatments including surgery. This study was conducted to assess the out come of septic induced abortion cases in a year. It was conducted at the Department of Obstetrics and Gynaecology, unit B, Khyber Teaching Hospital, Peshawar, from 1.7.01 to 30.6.02. The data of a total of 28 patients admitted as emergency cases with septic induced abortion in above period were collected. History, management given, post operative care, complications and associated morbidity and mortality were taken into account and result compiled. 78.5% patients with unsafe abortions were multi gravida. Termination was attempted at home or other small centers. 57% had history of surgical interference, 28.5% had used a mechanical device. 78.5% patients needed evacuation and curettage, 42% had laparotomy for visceral injuries. 15% patients had a subtotal hysterectomy. 57% patients had associated complications. 7.5% patients who came with septicemic shock died. Septic induced abortion is an important contributor to maternal morbidity and mortality, increasing the burden on not only the patients but health workers and their resources. However, it is preventable, and we suggest commitment to health education, family planning promotion and bringing down the rates of unsafe abortions as solutions to the problems

Maternal and perinatal outcome in eclampsia, a one year study

To estimate the maternal and perinatal morbidity and mortality due to eclampsia. Material and This study was conducted between 1st January 2001 to 31st December 2001, in Gynae 'B' unit Khyber teaching Hospital Peshawar. The data of a total of 25 patients presenting with eclampsia during the above period were analyzed. All emergency measures and treatment were taken into account and all surgical methods used, thoroughly reviewed. The presence of complications and maternal and perinatal morbidity and mortality were taken into account and compiled. Maternal Outcome:Twenty one [84%] out of 25 survived without long term complication. Four [16%] out of 25 cases deteriorated despite all the care and finally succumbed. One had cardio vascular accident, one had acute pulmonary oedema and cardiac arrest and 2 developed DIC and irreversible shock. Two out of the 4 who died were post caesarean section. Maternal morbidity was higher in the form of chest infection and renal complication. Perinatal out come:15 out of 25 babies were delivered alive, 10 survived healthily and 5 had neonatal deaths. 2 due to prematurity, 2 IRDS and 1 due to birth asphyxia. Ten out of 25 were intrauterine deaths and still births and these also included babies with anenceph and a meningocele. All patients were from low socioeconomic class and were not booked. These figures show the seriousness of the problem and the question it poses to our existing state of maternal health care, thus guiding us to work harder and develop new approaches to achive the goal set up by safe mother hood concepts