Janesh Gupta
Speeches:
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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. -
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.