Introduction: Septic abortion, is one of the most serious threats to women’s health worldwide.  Every year an estimated 5.7 million abortions ( ten times the legal ones ) are conducted illegally in India. . Most septic abortions are illegal , done by local dais and local quacks and patients after having complications are referred to higher centres like Rajendra Institute of Medical Sciences, Ranchi in moribund conditions. Aim if this study was to evaluate the incidence,  complications  and management in cases of septic abortions in a tertiary care centre

Material & Method: The study included 40 cases of septic abortions admitted at Rajendra Institute of Medical Sciences, Ranchi from june 2012 to july 2014.

Result: During the period of study total 812 cases of abortions were admitted in Rajendra Institute of Medical College and Hospital, 40 of which were having septic abortions giving an incidence of 4.9%.

In the present study 8 maternal deaths out of 40 cases of septic cases were there , giving an incidence of 20%, all were having a history of criminal interference. Septic abortion following MTP or spontaneous abortion were free of any mortality.

Conclusion:

 The incidence of illegal and septic abortion can be reduced by increasing awareness about family planning services and making legal abortion services easily available to the women