Infection rate after medical abortion is very low.
Of the 429 infections reported, the most common were endometritis (210 cases, 49% of all infections) and undefined genital tract infection (159 cases, 37%). Infections were most common among women who received mifepristone followed by gemeprost (1.56%, n=11,501). Only four cases (0.01%) required hospitalisation. Frequency of infection was significantly higher in the United Kingdom compared to other countries (2.54% vs. 0.28%) but this anomaly may be due to the use of antibiotic treatment as a standard practice for presumptive infection, signalled only by prolonged bleeding or pain. Removing the 13,302 UK medical abortions from the analysis reduced the overall frequency of infection from 0.92% to 0.28% and with this, differences in rates of infection between the various regimens disappeared. Thus, infection risk after medical abortion is very low. (1)
(1.) Shannon C, Brothers LP, Philip NM, et al. Infection after medical abortion: a review of the literature. Contraception 2004;70:183-90.
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|Title Annotation:||ROUND UP: Medical Abortion|
|Publication:||Reproductive Health Matters|
|Date:||Nov 1, 2005|
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