Читать книгу Managing Medical and Obstetric Emergencies and Trauma - Группа авторов - Страница 37

The Abortion Act of 1967 eliminated deaths from criminal abortion, which in the 1950s caused about 30 deaths a year. In the 2019 report one woman died from complications associated with a self‐induced termination of pregnancy. Previous deaths from termination have included women who received high doses of uterotonics in the presence of a CS scar and those who have developed sepsis, and hence prophylactic antibiotics are recommended in RCOG guidelines. Haemorrhage after spontaneous miscarriage has accounted for previous deaths, especially in the mid‐trimester, and is associated with a placenta implanted over a CS scar. This again emphasises the importance of placental localisation.