Septic Abortion
Key points
- Septic abortion is manifested by fever, malodorous vaginal discharge, pelvic and abdominal pain, and cervical motion tenderness.
- Treatment of septic abortion involves hospitalization and intravenous antibiotic therapy.
- Trauma to the cervix or upper vagina may be recognized if there has been a criminal abortion.
- A complete blood count, urinalysis, endometrial cultures, blood cultures, chest x-ray, and abdominal x-ray to rule out uterine perforation should be obtained.
General Considerations
Septic abortion is manifested by fever, malodorous vaginal discharge, pelvic and abdominal pain, and cervical motion tenderness. Peritonitis and sepsis may be seen. Trauma to the cervix or upper vagina may be recognized if there has been a criminal abortion.
A complete blood count, urinalysis, endometrial cultures, blood cultures, chest x-ray, and abdominal x-ray to rule out uterine perforation should be obtained. Ultrasound may be helpful in ruling out retained products of conception.
Treatment
Treatment of septic abortion involves hospitalization and intravenous antibiotic therapy. Selection of antibiotic agents should provide for both anaerobic and aerobic coverage. A D&C should be done, and a hysterectomy may have to be performed if the infection does not respond to treatment.
next article: Ectopic Pregnancy » »
Written and revised by
Gerald Hurowitz, M.D.
Our doctors write and review articles for accuracy and keep them up to date.
health.am provides general information, not medical advice. Always consult a qualified health professional about your own health.
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