Infectious miscarriage is dangerous?

This is an automatically translated article.

The article was professionally consulted by MSc, Dr. Trinh Thi Thanh Huyen - Obstetrician and Gynecologist - Department of Obstetrics and Gynecology - Vinmec Hai Phong International General Hospital

Miscarriage is a phenomenon that occurs in 12% of women who know they are pregnant. There are many causes of miscarriage and there are many different clinical forms of miscarriage. In particular, septic abortion, although rare, is very dangerous.

1. What is a septic abortion?

Infectious miscarriage usually occurs when the fetus is dead combined with premature rupture of membranes when there are no signs of labor or miscarriage, when the amniotic membrane is torn, bacteria will enter the amniotic cavity and uterus, causing infection. Pregnant women after pain in the lower abdomen and vaginal bleeding (dark blood, with a fishy odor) will show signs of infection syndrome, the patient has a fever of 37.8-40oC, a rapid pulse, a white blood cell test. demand increases, CPR increases. The placenta has been expelled after uterine contractions, but the placenta is often left in the uterine cavity. On vaginal examination, the cervix is ​​open, the uterus is soft, painful, and the uterus is smaller than the gestational age.
Infectious miscarriage cases are often very rapid and severe, because in addition to common bacteria, anaerobic bacteria can also be infected. Uterine infection is the most common, followed by endocarditis, peritonitis, sepsis, and in rare cases endocarditis. If not detected and treated promptly, the infection can be life-threatening.
There are many causes that can lead to intrauterine stillbirth and infection such as:
Birth defects, placental abruption, placental fibrosis, poor fetal growth, cord problems The umbilical cord causes the fetus to be depleted of oxygen, the state of amniotic fluid is polyhydramnios,... The mother has chronic diseases such as kidney disease, hypertension, diabetes, infections such as measles, mumps, rubella , malaria, syphilis,.... The mother smokes, is addicted to drugs, is addicted to alcohol, or is addicted to stimulants or the mother is pregnant but is not treated promptly.

2. Treatment of infectious miscarriage

Because the infection progresses very quickly and is severe, the patient with an infectious miscarriage needs to be treated aggressively. Patients will be used high-dose antibiotics combined with oxytocin to contract the uterus. After 6 hours of antibiotics, when the patient's temperature has decreased, the doctor will perform a curettage of the uterus. Care should be taken during curettage because the uterus is more prone to perforation than usual and there is a risk of disseminated infection. In the case of severe infections such as a total inflammation of the uterus, life-threatening sepsis,... a hysterectomy may be indicated. Counseling is required before and after surgery.

3. Prevention of infectious miscarriage

Thanks to the advancement of medicine, the pregnancy is better monitored, so the rate of fetal death in the womb has decreased much compared to before, the rate of septic abortion is also significantly reduced.
During pregnancy, women need regular antenatal check-ups to get ultrasound scans and gynecological examinations. If you feel that the pregnancy has abnormal signs such as low fetal activity, vaginal bleeding, lower abdominal pain, you should immediately seek medical attention for timely intervention. If the mother's condition is threatened with miscarriage, the doctor will prescribe progesterol, a tocolytic drug, vitamins, ... in combination with a rest and appropriate nutrition regimen. Adherence to treatment can help the mother keep the pregnancy. If the mother's condition is impending, ongoing, incomplete, or stillbirth, the general rule is to remove the uterus to remove all the fetus and placenta, to prevent bleeding and septic abortion.
At Vinmec International General Hospital, there is a package maternity service as a solution to help pregnant women feel secure because of the companionship of the medical team throughout the pregnancy. When choosing Maternity Package, pregnant women can:
The pregnancy process is monitored by a team of qualified doctors Regular check-up, early detection of abnormalities Maternity package helps to facilitate the process. birthing process Newborn with comprehensive care If you have unusual symptoms, you should be examined and consulted with a specialist.

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