Abstract

A case report of 29 years old woman is presented, who under went an unsafe abortion for unintended pregnancy resulting in uterine perforation and bowel having been  was pulled out and cut and removed via the introitusa.
Key words: Unsafe abortion, Bowel injury.

Introduction
An unsafe abortion is defined as a procedure for terminating an unintended pregnancy carried out either by a person lacking the necessary skills or in an environment that does not conform to minimal medical standards or both.
According to World Health Organization (WHO), a woman dies every 8 minutes in a developing country due to complications arising from an unsafe abortion.¹ The fifth United Nations Millennium Development Goal recommends 75% reduction in maternal mortality by 2015. WHO deems unsafe abortion one of easiest preventable causes of maternal mortality and a public health issue. Data suggests that even as the overall abortion rate has declined, the proportion of unsafe abortions is on the rise, especially in the developing nations.²
Approximately 1 in 10 pregnancies end in an unsafe abortion, giving a ratio of 1 unsafe abortion to about 7 live births.³
Highest number of unsafe abortions take place in Latin America, Africa and South East Asia.¹ The main causes of death or morbidity due to unsafe abortion are haemorrhage, sepsis, genital trauma and bowel injury.