User:S. Baradaran Nakhjavani/sandbox

Primary Prevention of Septic Abortion
Most complications and deaths associated with septic abortions can be prevented by reducing the chances of unwanted pregnancies through comprehensive sexual education and optimal use of effective contraceptions. Unwanted pregnancies can be avoided by enhancing social equality which would prevent women from coercive sexual relationships. A 2015 meta-analysis study showed that motivational interviewing on contraceptive use can increase the effective use of it immediately after interview and up to 4 months post-intervention. Another factor for preventing unsafe abortion is having access to safe, legal abortion services. According to the World Health Organization (WHO) 22 million unsafe abortions occur each year globally. Findings and studies have shown that women appear to have low knowledge on abortion regulations and laws in their countries. A systematic-review on women's awareness have shown that education on legal situation of abortion services and knowledge on accessible safe services would reduce the chance of women seeking for unsafe options that would lead to complications such as septic abortions.

Secondary Prevention of Septic Abortion
Secondary prevention of septic abortions can be achieved by early detection and treatment of inflammation of the lining of the uterus that could prevent more serious infections. Initial assessments of patient's history, and symptoms can be helpful in understanding the severity of the problem. Physical exams and pelvic exams as well as blood cultures should be used to determine the main reason behind the infection. It has been found that variety of bacteria can lead to infected abortions. As a result, no one antibiotic is preferred. As a result, investigating bacterial cultures would be an important step to guide antibiotic therapy. Following guidelines and well-studied treatment regimens is recommended.

Tertiary Prevention of Septic Abortion
Tertiary prevention of septic abortion are approaches that minimize organ disability or death risk from the infection. If the infection is not eradicated and managed, it can lead to septic shock and adults respiratory distress syndrome (ARDS). In severe cases, women with high fever, pelvis peritonitis, and tachycardia should be hospitalized for a course of antibiotic and evacuation of the remaining pregnancy tissue. If there is no response from emptying of the uterus, the patient could be indicated for another procedure called laparotomy. finally, patients with severe sepsis may develop ARDS. In that case, blood oxygen saturation should be monitored and adequate ventilation has to start if the saturation level drops below optimal levels.

Guideline below shows best pharmacy practices for pediatric pharmacies.

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