Managing Complications in Pregnancy and Childbirth: - IAWG

Vaginal bleeding in early pregnancyS-9TABLE S-2Diagnosis and management of complications of abortionSymptoms and Signs Complication Management• Lower abdominal pain• Rebound tenderness• Tender uterus• Prolonged bleeding• Malaise• Fever• Foul-smelling vaginaldischarge• Purulent cervical discharge• Cervical motion tenderness• Cramping/abdominal pain• Rebound tenderness• Abdominal distension• Rigid (tense and hard)abdomen• Shoulder pain• Nausea/vomiting• FeverInfection/sepsisUterine, vaginalor bowel injuriesBegin antibiotics a assoon as possible beforeattempting manualvacuum aspiration(page P-65).Perform a laparotomyto repair the injury andperform manual vacuumaspiration (page P-65)simultaneously. Seekfurther assistance ifrequired.aGive ampicillin 2 g IV every 6 hours PLUS gentamicin 5 mg/kg body weight IVevery 24 hours PLUS metronidazole 500 mg IV every 8 hours until the woman isfever-free for 48 hours (page C-35).