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First Trimester Surgical Abortion

TRISTAN, SIGRID BRI MD; GILLIAM, MELISSA MD, MPH

Clinical Obstetrics & Gynecology:
doi: 10.1097/GRF.0b013e3181a2b0c2
Pregnancy Termination
Abstract

First trimester surgical abortion is a very common, effective, and safe procedure. When a woman presents requesting pregnancy termination, counseling regarding pregnancy options and procedural risks, as well as a careful preoperative assessment are vital to a successful outcome. If a patient decides to undergo a surgical abortion, either an electric or manual vacuum aspiration may be performed, based upon provider preference. Complications of first trimester surgical abortion occur in only 0.5% of all cases and include: failed abortion, incomplete abortion, hematometria, hemorrhage, infection, and uterine perforation.

Author Information

Section of Family Planning, Department of Obstetrics and Gynecology, The University of Chicago Medical Center, Chicago, Illinois

Financial Disclosures: None.

Correspondence: Melissa Gilliam, MD, MPH, Section of Family Planning, Department of Obstetrics and Gynecology, The University of Chicago Medical Center, 5841 South Maryland Avenue, MC 2050, Chicago, IL. E-mail: mgilliam@babies.bsd.uchicago.edu

© 2009 Lippincott Williams & Wilkins, Inc.