Spontaneous abortion, also known as a miscarriage, is a pregnancy loss that occurs before the 20th week of gestation. While most spontaneous abortions occur in the first trimester, some women may experience a loss in the second trimester. Following a spontaneous abortion, women may be at risk for developing genital tract and pelvic infections.
Genital tract and pelvic infections can occur when bacteria enter the uterus and infect the reproductive organs. This can happen during a spontaneous abortion when the cervix is open and bacteria can enter the uterus. Infections can also occur if the uterus is not completely emptied of fetal tissue, which can lead to retained products of conception.
Signs and symptoms of genital tract and pelvic infections can include abdominal pain, fever, foul-smelling discharge, and pain during intercourse. In severe cases, infections can lead to sepsis and require hospitalization.
Preventing genital tract and pelvic infections following a spontaneous abortion involves ensuring the uterus is completely emptied of fetal tissue. This can be done through a dilation and curettage (D&C) procedure or medication. Women should also avoid sexual intercourse until their healthcare provider has confirmed the uterus is healed.
If an infection does occur, antibiotics may be prescribed to treat the infection. In severe cases, hospitalization may be required for intravenous antibiotics and supportive care.
While spontaneous abortion can be a difficult experience for women, it is important to be aware of the potential risks for developing genital tract and pelvic infections. Women who experience a miscarriage should be aware of the signs and symptoms of infection and seek medical attention if they occur. With proper treatment and prevention, women can reduce their risk of developing complications following a spontaneous abortion.