Chorioamnionitis in the Setting of Laminaria and Intra-Amniotic Digoxin: A Case Report

Abstract

Background: Laminaria placement and digoxin injection for induced abortion are safe procedures. However, there remains a theoretical risk of bacteria ascending into the cervix and uterus, leading to possible infection. Very few studies and case reports exist regarding infection with laminaria placement and digoxin injection and the use of antibiotic prophylaxis for these procedures.
Case: Herein, we present a case of chorioamnionitis after laminaria placement and intra-amniotic digoxin injection in a patient with intact membranes prior to a dilation and evacuation procedure.
Conclusion: Although infection with laminaria placement and digoxin injection is rare, additional research is warranted. The use of prophylactic antibiotics at the time of laminaria placement and digoxin injection should be further explored, especially in patients with risk factors.