{
    "abstract": "Unsafe abortions are more prevalent in developing countries and countries with restrictive abortion laws, and can lead to significant maternal mortality. Usually, the presentation includes abdominal pain, fever and vaginal bleeding.\nWe reported the case of a female in her twenties in her second trimester of pregnancy following unsafe abortion. The patient had abdominal pain, and laboratory investigations revealed anemia and leucocytosis. The patient opted for abortion as the foetus was identified as female by a service provider. Due to unsafe and illegal abortion, the patient developed complications of incomplete abortion and uterine rupture. She was successfully managed by emergency laparotomy followed by repair of uterine rupture and symptomatic management.\nUnsafe abortion can lead to complications such as incomplete abortion and uterine rupture. Complications due to abortion are more frequent if not performed by experienced surgeons. In our case, the manual vacuum and aspiration technique was used during the second trimester of pregnancy, which led to uterine perforation.\nOur case highlighted the importance of safe abortion practices and the approach to clinical management of complications of unsafe abortion. Also, global health problems such as unsafe abortion, illegal abortion, sex-selective abortion, and violation of ethical conduct need to be addressed to curb unsafe abortion.",
    "authors": [
        {
            "affiliation": "BP Koirala Institute of Health Sciences, Dharan, Nepal.",
            "firstname": "Ayush",
            "initials": "A",
            "lastname": "Anand"
        },
        {
            "affiliation": "BP Koirala Institute of Health Sciences, Dharan, Nepal.",
            "firstname": "Ashwini",
            "initials": "A",
            "lastname": "Gupta"
        },
        {
            "affiliation": "Department of Obstetrics and Gynaecology, BP Koirala Institute of Health Sciences, Dharan, Nepal.",
            "firstname": "Punita",
            "initials": "P",
            "lastname": "Yadav"
        },
        {
            "affiliation": "Department of Obstetrics and Gynaecology, BP Koirala Institute of Health Sciences, Dharan, Nepal.",
            "firstname": "Pappu",
            "initials": "P",
            "lastname": "Rijal"
        }
    ],
    "conclusions": "Our case highlighted the importance of safe abortion practices and the approach to clinical management of complications of unsafe abortion. Also, global health problems such as unsafe abortion, illegal abortion, sex-selective abortion, and violation of ethical conduct need to be addressed to curb unsafe abortion.",
    "copyrights": "\u00a9 2022 The Authors.",
    "doi": "10.1016/j.amsu.2022.104933\n10.1136/BMJOPEN-2018-023021\n10.1056/NEJMRA1908412/SUPPL_FILE/NEJMRA1908412_DISCLOSURES.PDF\n10.1016/J.IJGO.2010.01.028\n10.1080/01443615.2017.1421622\n10.1080/00220380412331293807\n10.1080/00220388.2016.1241389.54\n10.1080/00220388.2016.1241389\n10.1111/PPC.12345\n10.1007/S13524-016-0500-Z\n10.1136/BMJGH-2021-005516\n10.1136/BMJOPEN-2013-002612\n10.1136/BMJOPEN-2020-042542\n10.1186/S12889-022-12693-0\n10.1186/S12884-020-03284-1\n10.1186/S12905-019-0734-1\n10.1016/0020-7292(85)90010-4\n10.1002/14651858.CD011242.PUB2\n10.1002/14651858.CD003037.PUB2\n10.1002/14651858.CD006714.PUB2/INFORMATION/EN",
    "journal": "Annals of medicine and surgery (2012)",
    "keywords": [
        "Case report",
        "Illegal abortion",
        "Incomplete abortion",
        "Unsafe abortion",
        "Uterine rupture"
    ],
    "methods": null,
    "publication_date": "2022-12-31",
    "pubmed_id": "36582916\n30705238\n32160664\n20394922\n29577786\n30560997\n27638765\n34341019\n23674444\n33727264\n35183138\n22204215\n33008331\n30808340\n2860032\n26214844\n12519584\n18254113\n33181358",
    "results": null,
    "title": "Suspected illegal abortion and unsafe abortion leading to uterine rupture and incomplete abortion: A case report.",
    "xml": "<Element 'PubmedArticle' at 0x78850453a4d0>"
}