Postabortal Endometritis in Chlamydia-Negative Women – Association with Preoperative Clinical Signs of Infection

Abstract

The relations between clinical signs of infection and postoperative endometritis were studied among 429 women with negative preoperative chlamydial and gonococcal cultures. Clue cells and a vaginal smear not dominated by rods and positive amine tests were more common among the 12 patients (2.8%) with endometritis. In the stepwise logistic regression procedure the presence of > 20 % clue cells remained statistically significant and was associated with the highest relative risk, 5.6, with 95% confidence limits 1.82–17.2. This also implies clinical significance – women with clue cells constitute a group at risk of postabortal endometritis.