SEPTIC MISCARRIAGES PREVALENCE, OUTCOMES AND TREATMENT AT SELECTED HOSPITALS, WINDHOEK, NAMIBIA
1
Department of Human, Biological & Translational Medical Sciences, School of Medicine, Faculty of Health Sciences, University of Namibia, Windhoek, Namibia
2
Department of Obstetric and Gynecology, School of Medicine, University of Namibia, Namibia, Windhoek, Namibia
Popul. Med. 2026;8(Supplement Supplement 1):
ABSTRACT
INTRODUCTION:
The septic miscarriage, is any type of miscarriage, induced or spontaneous which is complicated by intrauterine infections. It contributes to 10% of maternal deaths worldwide. The outcome of septic miscarriage includes peritonitis, pelvic abscesses, renal failure, septic shock, uterine perforation and enterovaginal fistula as well as death. This retrospective study assessed the prevalence, outcome and treatment of septic miscarriages in Windhoek.
METHODS:
This retrospective study included 49 patients who were diagnosed with septic miscarriages. A data collection tool was used to extract data from the medical files in the gynecology wards. It contained the following variables, gravidity, parity, age, gestational age, vital signs at presentation, and inflammatory markers.
RESULTS:
The prevalence of septic miscarriages in both hospitals was 6.8%, with 6.9 % in Katutura Intermediate Hospital and 6.8 % in Windhoek Central Hospital. Majority 46 (94%) of patients got broad spectrum triple intravenous antibiotic. Treatments such as intravenous fluids resuscitation and blood transfusions were also part of the management. For surgical intervention, 80% underwent evacuation of retained products of conception, 8% had manual vacuum aspiration and 8% required Total Abdominal hysterectomy. The outcomes: 92 % were uncomplicated with a smaller number of patients getting total abdominal hysterectomy in 8% and 2% mortality rate.
CONCLUSIONS:
The prevalence of septic miscarriages in these hospitals is less than 10%. The patients are managed with the proper choice of antibiotics and proper supportive treatment depending on their hemodynamic stability. The outcome can be improved by preventing death and by teaching the population on how to detect a miscarriage.
The septic miscarriage, is any type of miscarriage, induced or spontaneous which is complicated by intrauterine infections. It contributes to 10% of maternal deaths worldwide. The outcome of septic miscarriage includes peritonitis, pelvic abscesses, renal failure, septic shock, uterine perforation and enterovaginal fistula as well as death. This retrospective study assessed the prevalence, outcome and treatment of septic miscarriages in Windhoek.
METHODS:
This retrospective study included 49 patients who were diagnosed with septic miscarriages. A data collection tool was used to extract data from the medical files in the gynecology wards. It contained the following variables, gravidity, parity, age, gestational age, vital signs at presentation, and inflammatory markers.
RESULTS:
The prevalence of septic miscarriages in both hospitals was 6.8%, with 6.9 % in Katutura Intermediate Hospital and 6.8 % in Windhoek Central Hospital. Majority 46 (94%) of patients got broad spectrum triple intravenous antibiotic. Treatments such as intravenous fluids resuscitation and blood transfusions were also part of the management. For surgical intervention, 80% underwent evacuation of retained products of conception, 8% had manual vacuum aspiration and 8% required Total Abdominal hysterectomy. The outcomes: 92 % were uncomplicated with a smaller number of patients getting total abdominal hysterectomy in 8% and 2% mortality rate.
CONCLUSIONS:
The prevalence of septic miscarriages in these hospitals is less than 10%. The patients are managed with the proper choice of antibiotics and proper supportive treatment depending on their hemodynamic stability. The outcome can be improved by preventing death and by teaching the population on how to detect a miscarriage.
| eISSN: | 2654-1459 |
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