Although every woman can terminate an unwanted pregnancy in a gynecological hospital, out-of-hospital abortions, in spite of the preventive work, remain an important problem of obstetrics and gynecology today. We analyzed 479 case histories of out-of-hospital abortions from the gynecology department of the 5th city hospital in Kazan, specialized in septic complications in obstetrics.
We analyzed the birth and medical histories of 13 women with postpartum sepsis, 5 with obstetric peritonitis, and one with septic shock during pregnancy due to pyosalpinx.
We analyzed the course of postnatal endometritis in 123 women treated in the gynecologic department of City Hospital 5 in 1983 and 1984. There were 22.8% of patients under 20 years of age, 43.9% from 21 to 25, 26 to 30 26.5%, 31 to 35 6.1%, and over 35 0.7%. There was some correlation of the incidence with the time of year: the highest number of cases (80) was registered in the summer and autumn months.
Reducing maternal mortality from haemorrhage is still the most important task of modern obstetric care. When it comes to the prevention of haemorrhage, a single term 'atonic haemorrhage' is appropriate. The etiology of uterine atony is not well understood, but it is known to be based on disorders of uterine contractility, hormonal imbalances or uterine muscle wasting.
The problem of preparing pregnant women for childbirth or termination of pregnancy with various complications, extragenital pathology in modern obstetrics remains relevant to this day. In recent years, various methods of administering prostaglandins have been increasingly used.
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