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First Trimester Surgical Abortion

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

Clinical Obstetrics & Gynecology: June 2009 - Volume 52 - Issue 2 - pp 151-159
doi: 10.1097/GRF.0b013e3181a2b0c2
Pregnancy Termination

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.

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.