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Septic abortions and their management.


 During calender 1968, the septic abortion incidence at a New Dehli hospital was 3.7%. Of these 107 women, 4 patients were under 20 and 7 over 40. 69.1% were classed as Type I, with infection confined to the uterus. These women generally responded to early treatment. When curettage was done during the febrile period, 93% remained afebrile. If curettage was performed during the febrile period, 94% continued febrile. 18% were classed as Type II, which included parametritis, pelvic peritonitis, pelvic abscess or spread to the adnexae. These patients responded better to curettage after 24-48 hours of antibiotic therapy. 11% of the women were Type III, with widespread sepsis. The death rate was 8.4% of the septic abortions. Treatment with antibiotics before curettage seems to be a more effective means of managing spetic abortion.
