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Saultes TA, Devita D, Heiner JD. The back alley revisited: sepsis after attempted self-induced abortion. West J Emerg Med. 2009;10(4):278-80
Saultes, T. A., Devita, D., & Heiner, J. D. (2009). The back alley revisited: sepsis after attempted self-induced abortion. The western journal of emergency medicine, 10(4), 278-80.
Saultes, Teresa A, et al. "The back alley revisited: sepsis after attempted self-induced abortion." The western journal of emergency medicine vol. 10,4 (2009): 278-80.
Saultes TA, Devita D, Heiner JD. The back alley revisited: sepsis after attempted self-induced abortion. West J Emerg Med. 2009 Nov;10(4):278-80. PMID: 20046250; PMCID: PMC2791734.
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West J Emerg Med. 2009 Nov;10(4):278-80.

The back alley revisited: sepsis after attempted self-induced abortion.

The western journal of emergency medicine

Teresa A Saultes, Diane Devita, Jason D Heiner

Affiliations

  1. Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, WA.

PMID: 20046250 PMCID: PMC2791734

Abstract

While unsafe abortions have become rare in the United States, the practice persists. We present a 24-year-old female with a 21-week twin gestation who presented to the emergency department with complications of an attempted self-induced abortion. Her complicated clinical course included sepsis, chorioamnionitis, fetal demise, and a total abdominal hysterectomy with bilateral salpingo-oophorectomy for complications of endomyometritis. We discuss unsafe abortions, risk factors, and the management of septic abortion. Prompt recognition by the emergency physician and aggressive management of septic abortion is critical to decreasing maternal morbidity and mortality.

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