Clinical Management of Abortion Complications: A practical Guide (WHO - OMS, 1994, 86 p.): CHAPTER 6

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Clinical Management of Abortion Complications: A practical Guide (WHO - OMS, 1994, 86 p.)

CHAPTER 6 - MANAGEMENT OF SEPSIS

		6.1 INTRODUCTION
		6.2 PRESENTATION
		6.3 ASSESSMENT OF SEVERITY OF INFECTION AND SEPSIS
		6.4 INITIAL TREATMENT
		6.5 DEFINITIVE MANAGEMENT
		6.6 CONTINUING TREATMENT

6.2 PRESENTATION

Consider the possible presence of infection with every woman who has complications of abortion. The following signs and symptoms indicate that either local or generalized infection (septicaemia) is very likely:

SIGNS	SYMPTOMS
chills or sweats (rigors) fever	history of interference with the pregnancy
foul-smelling vaginal discharge	abdominal pain
distended abdomen	IUD in place
rebound tenderness	prolonged bleeding
slightly low blood pressure (mild hypotension)	general discomfort; flu-like symptoms (malaise)