अमूर्त

Case history on incomplete abortion presented at Toli health post Achham, Nepal.

Aitawari Chaudhari, Sandesh Devkota, Umesh Gautam

Background: Among sorts of abortions, incomplete abortion is one of them in which there is open cervical os with vaginal bleeding but there is not complete expulsion of all products of conception from the uterus. Haemorrhage and infection are common complications associated with abortion. Infection is the leading cause of death due to abortion. The government of Nepal made abortion legal in September 2002. However the law prohibits abortions done without the consent of women, sexselective abortions and abortions performed without the legally permissible criteria. The history of this study is among the rare history. Which encourages brought out this case history in front of you. Objectives: The chief objective of this case history was to rule out factors associated with incomplete abortion, its consequences and preventive measures. Evaluation of the case history: A woman aged 29 years old presented at Toli health post dated on 29th September 2015 with principal complained of P/V bleeding. On physical examination, she was looking very weak, ill and anaemic. She couldn't walk freely without other people's support. She was 14 weeks of pregnancy. She already had three children. She did not want any more children, so she attempted to abort her pregnancy by taking medicine from a local medical hall as a result of incomplete abortion occurred. Again, she kept a wooden stick on her uterus to abort her pregnancy but she for a second time failed to abort her pregnancy. After that, the case was presented at Toli health post. The case was promptly referred to higher centre after primary treatment for further management due to unavailability of human resources and other facilities. Lesson learned from the case: Women seek medical abortion through local illegalized medical hall if no health facility provides safe abortion services located near them or there are no trained safe abortion service providers in their local community. Proposed solution: Women empowerment on reproductive health and socio-economic issues should be aroused at the community