A Maternal Death due to an Unsafe Abortion in Rural Nepal - A Case Report
International Journal of Medical Toxicology and Forensic Medicine,
Vol. 5 No. 2(Spring) (2015),
29 June 2015
,
Page 105-110
https://doi.org/10.22037/ijmtfm.v5i2(Spring).7280
Abstract
Background: Abortion was illegal before 2002 A.D. in Nepal and was legalized under the 11th amendment to the Country Code (Muluki Ain) in March 2002, receiving royal assent in September 2002. Nepal Government began providing comprehensive abortion care services from March 2004 after 18 months of legalization of abortion, when the government issued Safe Abortion Service Procedure. The maternal mortality ratio in Nepal is among the highest in South Asia. Unsafe abortion is defined as an induced abortion process either conducted by less skilled personnel or performed in a non-accredited facility. Though abortion has been legal in Nepal for more than 14 years now; physicians in Nepal still face problems of abortions done by less qualified personnel.
Case Report: We report a fatal case of unsafe abortion in a 32 year old lady whose cause of death was ascertained as irreversible septic shock due to septic abortion.
Conclusion: Prompt diagnosis and appropriate intervention might provide better outcome in these types of cases. Therefore, we stress the importance of safe abortion services provided by skilled personnel at rural areas in developing countries and of early referral in case complication arises so that the life of the patient is not endangered.
- Maternal mortality
- Septic abortion
- Nepal
- Autopsy
How to Cite
References
Bhattacharya S, Pal R. Consequences of unsafe abortion in India – a case report. ProcObstetGynaecol. 2011 November; 2(2): Article 12[4 p].
Hazra SK, Sarkar PK, Chaudhuri A, Mitra G, Banerjee D, Guha S. Septic abortion managed in a tertiary hospital in West Bengal. J Basic Clin Reprod Sci. 2013;2:38-41.
Khan KS, Wojdyla D, Say L, Gülmezoglu AM, Van Look PF. WHO analysis of causes of maternal death: a systematic review. Lancet. 2006;367(9516):1066-74.
Sedgh G, Singh S, Shah IH. Induced abortion: incidence and trends worldwide from 1995 to 2008. Lancet. 2012.
Shakya G. Abortion Law Reform in Nepal: Womens Right to Life and Health Reproductive Health Matters. 2004;12(24): 75-84.
Puri M. Sometimes they used to whisper in our ears: health care workers’ perceptions of the effects of abortion legalization in Nepal BMC Public Health. 2012;12:297.
Konje JC, Obisesan KA, Ladipo OA. Health and economic consequences of septic induced abortion. International Journal of Gynaecology& Obstetrics. 1992;37:193-7.
Fauveau V, Koenig MA, Chakraborty J, Chowdhury AI. Causes of maternal mortality in rural Bangladesh, 1976-85. Bull World Health Organ. 1988;66:643-51.
Phillip G. Stubblefield and David A. Grimes. Septic abortion. New England Journal of Medicine. 1994;331:310-4.
Verma K, Thomas A, Sharma A. Maternal mortality in rural India: A hospital-based, 10-year retrospective analysis. J Obstet Gynaecol Res. 2001;27:183.
Rogo KO, Aloo-Obunga C, Ombaka C. Maternal mortality in Kenya: the state of health facilities in a rural district. East Afr Med J. 2001;78:468–72.
Ministry of Health and Population, New ERA, and Macro International Inc. Nepal Demographic Health Survey 2006. Kathmandu: New Era and Macro International Inc; 2007.
Suvedi BK, Pradhan A, Barnett S, Puri M, Chitrakar SR, Poudel P, et al. Nepal Maternal Mortality and Morbidity Study 2008/2009. Kathmandu: Family Health division, Department of Health Services, Ministry of Health, Government of Nepal; 2009.
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