Management Vaginal evaluation is done under anaesthesia if uterus is less than 12 weeks. If uterus is more than 12 weeks induction is done either by oxytocin or prostaglandins. In majority of these cases, the infection occurs following illegal induced abortion but can also occur after spontaneous abortion. Cervical swab or high vaginal swab is taken to detect the organism microscopically or by culture. Management Hospitalization of the patient is done.
Blood transfusion is done if required.
Evaluation of the uterus is done following antibiotic therapy. Active surgery is indicated if there is pelvic abcess, injury to the uterus or intestine, presence of foreign body in the abdomen, decreased urinary output not responding to conservative treatment.