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Post Abortion Care
Post Abortion Care
Post Abortion Care
• Early complications.
• Infection- Sepsis.
• Perforation of uterine wall during D&C.
• Hemorrhage- shock, anemia
• Cervical laceration, stenosis
• Late complications.
• Infertility- failure to conceive due to endometrial
damage, hysterectomy
• Fistula formation
• Chronic pelvic pain
• Cervical incompetence
• Asherman syndrome - a condition where the
cavity of the uterus develops scar tissue
(adhesions) commonly due D&C
POST ABORTION CARE (PAC)
Definition
• Resuscitation
• Antibiotics
• Blood transfusion
• Analgesia
• Laparotomy/laparoscopy
The aims of counseling:
• Diaphragm and cervical cap should be delayed till 6 weeks after a 2nd
trimester abortion
• There is high risk of expulsion of intra uterine device and risk of infection if
inserted at the time of 2nd trimester abortion. (delay for 3 months if
infection is present).
Linkage to reproductive and other
health services
:
• This encourages providing post abortion women with reproductive and
other health services present in the hospital.