Abstract
Background : Abortion was illegal before 2002 A.D. in Nepal and was legalized under the 11th amendment to the Country Code (Muluki Ain) in March 2002, receiving royal assent in September 2002. Nepal Government began providing comprehensive abortion care services from March 2004 after 18 months of legalization of abortion, when the government issued Safe Abortion Service Procedure. The maternal mortality ratio in Nepal is among the highest in South Asia. Unsafe abortion is defined as an induced abortion process either conducted by less skilled personnel or performed in a non-accredited facility. Though abortion has been legal in Nepal for more than 14 years now; physicians in Nepal still face problems of abortions done by less qualified personnel. Case Report : We report a fatal case of unsafe abortion in a 32 year old lady whose cause of death was ascertained as irreversible septic shock due to septic abortion. Conclusion : Prompt diagnosis and appropriate intervention might provide better outcome in these types of cases. Therefore, we stress the importance of safe abortion services provided by skilled personnel at rural areas in developing countries and of early referral in case complication arises so that the life of the patient is not endangered.
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