gynecology and obstetrics
Septic Abortion
Diagnosis of Septic Abortion
Vital signs and pelvic and abdominal examination Blood cultures to guide antibiotic therapy Complete blood count and other tests to evaluate patient status Ultrasonography Septic abortion is usually obvious clinically, typically based on finding symptoms and signs of severe infection in women who are or recently were pregnant. Ultrasonography should be done to check for retained products of conception as a possible cause. Uterine perforation should be suspected when women have unexplained severe abdominal pain and peritonitis. Ultrasonography is insensitive for detecting perforation. nitrogen (BUN), and creatinine. Prothrombin time (PT) and partial thromboplastin time (PTT) are done if liver test results are abnormal or if women have excessive bleeding. Products of conception should be sent to microbiology if possible. In patients with septicemia, evaluate for Streptococcal Infections and 