In France from 1990 to 1995 1,000,000 legal abortions were carried out. There
were 4 deaths linked without certitude to an infection, 1 0/00 peritonitus and
about 1% of minor complications with up to 12 weeks of amenorrhia There are
few long term post-infection effects.
Women with a history of pelvic infection run a real risk of infectious complications.
The speaker quotes an American study:
1/1400 abortion leads to hospitalisation.
1/4500 leads to a serious infection.
What antibiotic therapy: 1 dose of DOXYCYCLINE 200mg 2 hours before, 200mg
12 hours after.
At the moment the incidence of infection is not known.
The majority of centres do not practise a systematic antibiotic therapy.
The discussion underlined the different medical practices. In Spain
DOXYCYCLINE is systematically used for 5 days, in Germany there is screening
for Chlamydia with treatment in positive cases.
The specific case of Russia where women under go a high number of abortions
shows a linked rise in the incidence of Chlamydia.
In conclusion: although this is a quantifiable field consensus is not possible