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Vacuum aspiration in the first trimester is the safest method of surgical abortion, and can be performed in a primary care office, abortion clinic, or hospital. Complications, which are rare, can include uterine perforation, pelvic infection, and retained products of conception requiring a second procedure to evacuate. [107]
For second-trimester abortions, in 2009, medical abortion (using mifepristone in combination with a prostaglandin analog) was the most common method of abortion in Canada, most of Europe, China and India; [7] in contrast to the US, where 96% of second-trimester abortions were performed surgically by dilation and evacuation.
This combination is 97% effective [9] during the first 63 days (9 weeks) of pregnancy, yet effective in the second trimester as well. [10] [11] It is also used on its own to treat Cushing's Syndrome or for use as a low-dose emergency contraceptive. [12] [13] The most common adverse effects include abdominal pain, feeling tired, and vaginal ...
Hysterotomy abortion is a surgical procedure that removes an intact fetus from the uterus in a process similar to a cesarean section. The procedure is generally indicated after another method of termination has failed, or when such a procedure would be medically inadvisable, such as in the case of placenta accreta .
Dilation (or dilatation) and curettage (D&C) refers to the dilation (widening or opening) of the cervix and surgical removal of sections and/or layers of the lining of the uterus and or contents of the uterus such as an unwanted fetus (early abortion before 13 weeks), remains of a non-viable fetus, retained placenta after birth or abortion as well as any abnormal tissue which may be in the ...
Single-use double-valve manual vacuum aspirator. Vacuum or suction aspiration is a procedure that uses a vacuum source to remove an embryo or fetus through the cervix.The procedure is performed to induce abortion, as a treatment for incomplete spontaneous abortion (otherwise commonly known as miscarriage) or retained fetal and placental tissue, or to obtain a sample of uterine lining ...
Dilation and evacuation can be offered for the management of second trimester miscarriage if skilled providers are available. [6] Some women choose D&E over labor induction for a second trimester loss because it can be a scheduled surgical procedure, offering predictability over labor induction, or because they find it emotionally easier than undergoing labor and delivery.
In 1968, abortion by the instillation of saline solution accounted for 28% of those procedures performed legally in San Francisco, California. [5] Intrauterine instillation (of all kinds) declined from 10.4% of all legal abortions in the U.S. in 1972 to 1.7% in 1985, [ 6 ] falling to 0.8% of the total incidence of induced abortion in the United ...
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