Abortion Complications Follow-up

Updated: Jun 24, 2016
  • Author: Slava V Gaufberg, MD; Chief Editor: Jeter (Jay) Pritchard Taylor, III, MD  more...
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Follow-up

Further Outpatient Care

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  • 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

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  • 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

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  • 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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Complications

Complications of septic abortion may include the following:

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Patient Education

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