Clinical results of two-time abortion technics with special regard to ascending genital infections
Kreibich, H.; Ehrig, E.; Koch, E.
Zentralblatt für Gynakologie 99(12): 755-762
1977
ISSN/ISBN: 0044-4197 PMID: 331753 Document Number: 111011
On the basis of 5400 abortions performed in the period 1965-1974, it is concluded that complication rates vary with the length of the pregnancy and are twice as high for primigravidae and problem cases as for multigravidae. Until the 8th week, extraction by flexible catheter or thin suction curette can be done without dilation. From the 8th to 12th weeks, 1-time mechanical dilation methods with suction curettage are advised. For primigravidae and high-risk cases, dilation by laminaria or metranoiceters with suction curettage or induction by extraamnial application of prostaglandin should be used. In the second trimester, instillation methods are recommended. The major danger of these 2-time methods is ascending genital infections. 423 cases of 2-time abortion methods were investigated for aerobic microbial contamination. Contamination rates were strongly dependent on length of induction time. Under 4 hours, they were virtually nil; All the 2-time methods should be conducted under broad-spectrum antibiotics. Microbes found in the uterine cavity were enterobacteria, staphylococci, streptococci, enterococci, corynebacteria, and yeasts (Candida albicans).