Title: [Post-abortion infections]

POPLINE Document Number: 044295

Author(s):

Decker K

Source citation:

GYNAKOLOGE, 1978 Dec;11(4):201-5.

Abstract:

A literature review concerning the incidence of infection after an induced abortion is presented. Febrile morbidity is most frequent after abortions which are performed in the second trimester of pregnancy and after abortions which are performed in 2 stages, such as prostaglandin instillation. This rate is lowest among abortions perfomed by vacuum aspiration. The incidence of endometritis ranges from 1.9% after vacuum aspiration to 8.3% after 2-stage prostaglandin instillation. Other pelvic infections occur in .03%-3.5% of the cases, regardless of the procedure. The post-abortion incidence of sepsis ranges from .2%-1.9%, of urinary tract infections from .5%-4.2%, and of thrombophlebitis from .2%-1%. Genital infections after induced abortion may be due to cervical gonorrhea, incomplete evacuation of the uterus, or uteral perforation. Postoperative antibiotic prophylaxis can reduce the incidence of genital infections. Before the operation, local antibiotic suppositories are sometimes prescribed; cohabitation should not be resumed after the operation until after vaginal bleeding stops. Chronic adnexitis occurs in about 1.1-8% of abortion patients. Infections can cause closure of the Fallopian tubes or can affect the ovaries, causing sterility or infertility.

Keywords:

Abortion
Infections
Fertility Control, Postconception
Family Planning
Diseases