Therapeutic abortion and Chlamydia trachomatis infection.

Abstract

SUMMARY Chlamydia trachomatis was isolated from the cervix of 30 of 218 (13 807o) women admitted for legal termination of pregnancy. During the first two weeks after the abortion seven of the 30 (23-3%) patients developed pelvic inflammatory disease. Four of these had serological evidence of recent active chlamydial infection. Thus, routine examination of patients for genital chlamydial infection before termination of pregnancy is recommended.

Early- and late-onset pelvic inflammatory disease among women with cervicalChlamydia trachomatis infection at the time of induced abortion — A follow-up study

“…In accordance with previous investigations [16][17][18][19][20][21], we found in our randomized study [3], that C. trachomatis most frequently occurred among women below the age of 26. Therefore, if medical resources are limited, they should be directed towards the screening of these women.…”

Chlamydia trachomatis: Is it Possible to Reduce the Number of Infections after Abortions?

“…Several authors have reported frequencies of postabortal salpingitis above 20% among chlamydia-positive women who were not treated during the 30-day postabortal period (1)(2)(3)6). In the present study, specimens for C. trachomatis were collected the day before the operation.…”

“…The association of C. trachomatis with pelvic inflammatory disease is well documented (1)(2)(3)(4)(5)(6)(7)(8)(9)(10).…”

“…In the Scandinavian countries, the frequency of postabortal salpingitis varies from 1-10% (1-6), and among untreated chlamydia-positive women, frequencies over 20% have been reported (1)(2)(3)6). The association of C. trachomatis with pelvic inflammatory disease is well documented (1)(2)(3)(4)(5)(6)(7)(8)(9)(10).…”

Effets secondaires de l'interruption volontaire de grossesse. Résultats d'une enquête en population générale

“…Plusieurs études ont montré des préva-lences élevées de portage de Chlamydia trachomatis au niveau du col utérin chez des femmes se présentant pour une IVG dans des centres de planning familial (6 % dans le centre d'orthogénie de Colombes) [15]. Or on suspecte que, dans le cas d'une interruption chirurgicale de grossesse, la présence de Chlamydia au niveau du col entraîne un risque d'infection haute dans les semaines qui suivent l'intervention [16][17][18][19][20][21]. Même si l'on peut formuler l'hypothèse que le risque d'infection haute devrait être moins important en cas d'avortement médicamenteux, puisque celui-ci ne comporte pas de geste invasif sur le col ou sur l'utérus, cela reste à démontrer.…”