Abortion Complications Follow-up

Updated: Jan 25, 2022
  • Author: Slava V Gaufberg, MD; Chief Editor: Jeter (Jay) Pritchard Taylor, III, MD  more...
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Follow-up

Further Outpatient Care

If the patient is discharged from the ED, arrange definite follow-up care in 1-2 days with the patient's primary gynecologist.

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Further Inpatient Care

Inpatient treatment of patients with abortion complications includes repeat D&C, laparoscopy, and laparotomy (for treatment of complicated perforation, bowel and bladder injuries, refractory bleeding).

Further inpatient care for patients with septic abortion include the following:

  • Perform a prompt evacuation of retained products of conception from the uterus.

  • Administer aggressive antibiotic therapy.

  • Monitor the patient's temperature, vaginal discharge, and bleeding.

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Deterrence/Prevention

Educate patients about contraceptive measures to deter them from using abortion as a means of birth control.

Deterrence and prevention of septic abortion include the following:

  • Contraception to prevent unwanted pregnancies

  • Safe and legal abortions

  • Easy access to prenatal care

  • Prompt diagnosis of septic abortion

  • Timely treatment with intravenous antibiotics

  • Prompt evacuation of retained tissue from the uterus

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