Janesh Gupta

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    Preventing infection in abortion care
    Janesh Gupta MD, Professor of Obstetrics and Gynaecology
    University of Birmingham, Birmingham Women’s Hospital, England, UK
    There is controversy of whether prophylaxis treatment or a “screen and treat” policy should
    be adopted for preventing infective complications when women undergo abortion. There is
    currently compelling evidence that indicates that a universal policy of prophylaxis
    treatment to ALL women undergoing abortion should receive antibiotics. It is also a cost-
    effective policy. This is the policy adopted in the UK and the evidence will be presented.

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    The future would be to expand this service to the legal gestation age of 23+6 weeks. This service has exponentially expanded over the past 3 years to cater for women with complex co-morbidities, which require a multi-disciplinary team involvement. I shall present the unit’s case load, complexities and methods of achieving a safe outcome with the focus for ensuring a high uptake of long acting reversible contraceptives.