George J. Chonongera–Kasungu DHO
Peter Sosiwa – Ntcheu DHO
Henderson Lomosi–Mzimba North DHO

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

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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

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Abortion is the termination of pregnancy by any means, resulting in expulsion of an immature nonviable foetus of less than 28 weeks.
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Abortion can be early or late depending on gestation, early up to 12 weeks gestation and late between 13-28 weeks gestation.

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

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Haemorrhage
Septicaemia
Bacteraemia shock with rigors, nausea, vomiting, diarrhoea, hypotension, confusion, delirium and coma
Renal failure
Secondary infertility
Death

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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

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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

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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

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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.

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Definition of abortion
Described the classification of abortion
Explained the general management of woman with abortion
State complications of abortion

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Definition of abortion
Described the classification of abortion
Explained the general management of woman with abortion
State complications of abortion
THANK YOU