Is preoperative vaginal cleansing necessary for control of infection after first trimester vacuum curettage?

Varli, Ingela Hulthén; Lindelius, Anna; Bergström, Mats

doi:10.1111/j.0001-6349.2005.00689.x

Cited by 6 publications

(3 citation statements)

References 16 publications

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“…Postabortion endometritis occurs in fewer than 2% of patients who undergo first-trimester abortions and receive antibiotic prophylaxis 18,33 . Cleansing the cervix before aspiration is routine, but does not reduce the risk of infection 34 . Symptoms include fever, pelvic pain, vaginal discharge, or unexpected bleeding patterns.…”

Section: Procedural Carementioning

confidence: 99%

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First-trimester Procedural Abortion

McLaren,

Hennessey

2023

Clinical Obstetrics &Amp; Gynecology

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First-trimester abortion is a common and safe procedure. A focused history and physical examination are essential for providing this care. Laboratory assessment can include Rh typing, hemoglobin, and cervicitis testing as indicated by a patient’s risk factors. Procedural abortion in the first trimester includes cervical dilation with or without cervical preparation, and uterine evacuation utilizing a manual vacuum aspirator or electric vacuum aspirator. Complications occur rarely and are often easily managed at the time of diagnosis.

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Section: Procedural Carementioning

confidence: 99%

“…18,33 Cleansing the cervix before aspiration is routine, but does not reduce the risk of infection. 34 Symptoms include fever, pelvic pain, vaginal discharge, or unexpected bleeding patterns. Diagnosis of infection is made clinically with tenderness on pelvic exam.…”

Section: Infectionmentioning

confidence: 99%

First-trimester Procedural Abortion

McLaren,

Hennessey

2023

Clinical Obstetrics &Amp; Gynecology

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“…6 counts. 8 The point of the study was to determine if the vagina's natural flora was enough to protect the area from infection. Authors of another study used 0.9% sodium chloride as a vaginal prep on individuals having vaccuum aspiration.…”

Section: Literature Synthesismentioning

confidence: 99%

Vaginal prep in the operating room

Roberson¹

2014

OR Nurse

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A According to the CDC, approximately 17% of hospital-acquired infections in the United States are surgical site infections (SSIs). 1 Patients who undergo surgery have a 10% to 30% chance of developing an SSI, increasing the hospital stay up to 8.2 days at an additional cost of $20,842. 1-3 Cleansing the surgical site prior to the procedure-with the goal of reducing soil and transient microorganisms-is one way to lower the chance of an SSI according to the Association of periOperative Registered Nurses (AORN). 4 Preparation (prep) solutions that are FDA approved for the vagina are limited. Povidone-iodine (PI) 10% solution is the only FDA-approved prep solution currently available for use as a vaginal prep. Chlorhexidine 4% is FDA approved for skin prep but isn't approved for use on genital areas at this time. 4 So, what's the alternative for vaginal procedures when the patient has an iodine allergy? The challenge for the surgical staff is finding a good prep solution to cleanse the vagina that's nonirritating and still meets surgical standards. Baby shampoo has been used as a vaginal prep solution in some facilities, but there isn't enough research to determine if it's an acceptable alternative to prevent SSIs. However, does the vagina need the same preparation as the skin prior to procedures? Clinical practice issueThere's an abundance of information available regarding intraoperative prep of the surgical site; however, Vaginal in the operating ro m prep By Amy L. Roberson, BSN, MAED/AET, MSN, RN, Maj, USAF, CNOR Baby shampoo may be considered as a possible alternative agent for vaginal prep, but with only one study found on the subject, a recommendation for a change in clinical practice can't be made at this time.

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Interruption volontaire de grossesse instrumentale

Linet

2016

Journal de Gynécologie Obstétrique et Biologie de la Reproducti

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Is preoperative vaginal cleansing necessary for control of infection after first trimester vacuum curettage?

Abstract: Under certain conditions, preoperative vaginal cleansing can be safely omitted.

Cited by 6 publications

References 16 publications

First-trimester Procedural Abortion

First-trimester Procedural Abortion

Vaginal prep in the operating room

Interruption volontaire de grossesse instrumentale

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