Comparison of Condition Specific Indicators among
Illegal Induced Abortion: Septic and Non-Septic
Abortion in Songkla Center Hospital
Tatpong Phaumvichit MD*,
Verapol Chandeying MD**
Affiliation :
* Department of Obstetrics and Gynecology, Songkla Center Hospital, Songkhla, Thailand
** Department of Obstetrics and Gynecology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand
Objective : Determine the clinical indications of illegal induced abortion, comparison between septic and non-septic abortion.
Material and Method: The present retrospective descriptive study was conducted among pregnant women who were
admitted in the hospital with the illegal induced abortion. The demographic data, gestational age, the method used, and
personnel performing were gathered, as well as symptomatology, basic laboratory, condition progression, and medical and
surgical intervention.
Results : There were 92 patients with illegal induced abortion between March 2009 and December 2010. The three main
induced methods for termination of pregnancy was vaginal suppository, likely to be misoprostol-a synthetic prostaglandin E1
analog (43.5%), oral Thai herbal medicine (19.6%) and combined medication (16.3%), respectively. Of septic/non-septic
abortion, the first visit body temperature of 38.0 degrees Celsius or more (74.1/12.3%), heart rate of 100 per minutes or more
(74.1/12.3%), fever index 3 degree-hours or more in the first 24 hours (81.5/12.3%) and fever index 5 degree-hours or more
in the first 24 hours (59.3/1.5%), were statistically significant (all p-values of < 0.001). Overall, the most common type of
termination of induced abortion was incomplete abortion 68 in 92 cases (73.9%).
Conclusion : The first visit body temperature of 38.0 degrees C or more, heart rate of 100 per minutes or more and fever
index of 3 and 5 degree-hours, are clinically helpful in the early diagnosis and treatment of septic abortion.
Keywords : Condition specific indicator, Induced abortion, Septic abortion, Non-septic abortion
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