Abortion PDF

ABORTION DR.SABIR MEKKI HASSAN  DEFINITION Medico-legally is defied as the expulsioi of the coiteit of a gravid uterus before term(280 days , tei luiar moiths or abseice of tei cycles.)  Medico-legal importaice 1. A womai might claim abortoi afer receiviig certaii trauma. 2...

ABORTION DR.SABIR MEKKI HASSAN  DEFINITION Medico-legally is defied as the expulsioi of the coiteit of a gravid uterus before term(280 days , tei luiar moiths or abseice of tei cycles.)  Medico-legal importaice 1. A womai might claim abortoi afer receiviig certaii trauma. 2. A womai might try abortoi afer illegal pregiaicy. 3. A womai might claim abortoi afer receiviig certaii medical maiagemeit.  Classifcatoi 1.Spoitaieous ,due to disease or coigeiital aiomalies. 2.Iiduced,therapeutc aid crimiial. 3.Accideital e. g. due to trippiig , slippiig or falliig dowi.  Gyiecological Classifcatoi 1. Threateied:- Vagiial bleediig. No paii or slight lower abdomiial or\aid lower back discomfort. Pregiaicy ,usually early. The os is closed. 2.Iievitable:- The same as the threateied but the paii is more severe aid the os is opei. 3. Iicomplete:- The same as the iievitable but part of the coiceptoi is expelled outside the uterus. 4.Complete:- All of the coiceptoi is expelled aid the os recloses. 5.Missed:- The coiceptoi is lost iiside the uterus aid there are io or slight symptoms.  Therapeutc Abortoi Aiy iiduced abortoi that is doie legally aid for the sake of the life of the mother. Coiditois:- It should have stroig medical iidicatoi. A coiseit should be obtaiied from both the womai aid her husbaid. It should be doie ii a public goverimeit hospital.  The hospital should be well equipped. It should be doie by two expert obstetriciais. All of them iicludiig the doctor for the iidicatoi of abortoi should write a detailed report iicludiig pre- duriig aid post-operatve aid this report should kept ii the secret fles of the hospital. Crimiial Abortoi Aiy iiduced abortoi that is doie illegally aid iot for the sake of the life of the mother.  Methods Depeid oi three maii factors:- 1.The cultural backgrouid of the womai. 2.The methods available. 3.The term of pregiaicy. Commoi methods are:-  Directig violeice to the pelvis. Streiuous exercise. Iijectoi of substaice iiside the vagiia or uterus(uteriie eiema). Dilatatoi of the cervix (object , tabs ,herb etc.).  Evacuatoi of the uterus. Iiductoi. Laparotomy or caesareai sectoi.  Complicatois aid mechaiisms of death Bleediig. Severe paii aid shock. Embolism (air ,thrombus ,fat ,substaice used ii abortoi). Iifectoi aid septcemia. Subfertlity. Poisoiiig. Thaik You Very Much