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History
• Any woman of childbearing age presenting with fever, abdominal pain, vaginal
discharge, or vaginal bleeding should be evaluated for a possible septic abortion.
• Patients with septic abortion usually present with complaints including the following:
○ Fever
○ Abdominal pain
○ Vaginal discharge
○ Vaginal bleeding
○ History of recent pregnancy
Physical
• Perform an abdominal examination with attention to guarding, rebound tenderness, and
bowel sounds.
• Perform a pelvic examination to assess vaginal discharge, bleeding, cervical motion
tenderness, uterine and adnexal tenderness, and masses.
Causes
Two major factors contribute to development of septic abortion.
If the woman has a sexually transmitted infection (STI) such as chlamydia, the bacteria causing
the infection can spread through the unborn child or placenta, to the lining of the uterus. It may
go into the muscles of the uterus or beyond that to other nearby organs. If the infection reaches
the bloodstream, it is called sepsis.
• chills
As the condition becomes more serious, signs of shock may appear. These include:
• low blood pressure
• trouble breathing
If the septic abortion is not treated quickly and effectively, the woman may die.
Septic abortion: An abortion associated with a uterine infection. The infection can
occur during or just before or after an abortion. The infection can result from factors
such as Chlamydia, IUD's or attempted abortion using infected tools. More detailed
information about the symptoms,
Symptoms of Septic abortion
The list of signs and symptoms mentioned in various sources for Septic abortion includes the 17
symptoms listed below:
• Fever
• Chills
• Abdominal pain
• Abdominal cramping
• Prolonged vaginal bleeding
• Heavy vaginal bleeding
• Foul-smelling vaginal discharge
• Backache
• Low blood pressure
• Low body temperature
• Reduced urine output
• Absent urine output
• Breathing problems
• Septic shock
• Hypothermia
• Reduced blood pressure
• Fetal death
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Background
Abortion
Surgical
type
Usage
Medical notes
Infobox references
Dilation (or dilatation) and curettage (D&C) refers to the dilation (widening/opening) of the
cervix and surgical removal of part of the lining of the uterus and/or contents of the uterus by
scraping and scooping (curettage). It is a therapeutic gynecological procedure as well as a rarely
used method of first trimester abortion.[1][2]
D&C normally refers to a procedure involving a curette, also called sharp curettage.[1] However,
some sources use the term D&C to refer more generally to any procedure that involves the
processes of dilation and removal of uterine contents, which includes the more common suction
curettage procedures of manual and electric vacuum aspiration.[3]
Contents
[hide]
• 1 Procedure
• 2 Clinical uses
• 3 Complications
• 4 See also
• 5 External links
• 6 References
[edit] Procedure
The first step in a D&C is to dilate the cervix, usually done a few hours before the surgery. The
woman is usually put under general anesthesia before the procedure begins. A curette, a metal
rod with a handle on one end and a sharp loop on the other, is inserted into the uterus through the
dilated cervix. The curette is used to gently scrape the lining of the uterus and remove the tissue
in the uterus. This tissue is examined for completeness (in the case of abortion or miscarriage
treatment) or pathologically for abnormalities (in the case of treatment for abnormal bleeding).[1]
[edit] Complications
One risk of sharp curettage is uterine perforation. Although normally no treatment is required for
uterine perforation, a laparoscopy may be done to verify that bleeding has stopped on its own.
Infection of the uterus or fallopian tubes is also a possible complication, especially if the woman
has an untreated sexually transmitted infection.[1]
Another risk is intrauterine adhesions, or Asherman's syndrome. One study found that in women
who had one or two sharp curettage procedures for miscarriage, 14-16% developed some
adhesions.[7] Women who underwent three sharp curettage procedures for miscarriage had a 32%
risk of developing adhesions.[7] The risk of Asherman's syndrome was found to be 30.9% in
women who had D&C following a missed miscarriage [8], and 25% in those who had a D&C 1–4
weeks postpartum.[9][10][11] Untreated Asherman's syndrome, especially if severe, also increases
the risk of complications in future pregnancies, such as ectopic pregnancy, miscarriage, and
abnormal placentation (eg.placenta previa).[1] According to recent case reports, use of vacuum
aspiration can also lead to intrauterine adhesions.[12]
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Curettage
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