This complication occurs in approximately 2 per 1000 abortions performed at less than 12 weeks’ gestation.  Several factors increase this complication.

1. Previous pregnancy: RR 2.2 for gravida greater than one
2. Gestational…

Hemorrhage from Surgical Abortions
During operative pregnancy termination (vacuum aspiration or D&E) general anaesthetics (especially halothane or similar agents) appear to increase blood loss compared with local   anaesthetics   using   intravenous…

Preinsertion of multiple osmotic dilators 6 to 24 hours prior to amnio-infusion may reduce the time from induction to completion,  reduce the risk of cervical laceration,  and almost   eliminate   posterior  …

There has been considerable controversy over which method of second trimester abortion is safest, least stressful to patient and provider, and most cost effective. However, evidence demonstrates that dilatation and…

As with all operative procedures, sound principles of surgical technique and the prevention of complications should include

•  accurate preoperative diagnosis and evaluation;
•  high level of operator skill;
• …

C. VACUUM ASPIRATION (≤ 13 Weeks)

Vacuum aspiration can be performed easily and safely with little discomfort in the first trimester under local anaesthetic and premedication with narcotics or sedation if necessary.

Advantages
1.…

B. MANUAL VACUUM ASPIRATION (≤ 10 Weeks)
Evacuation of early gestations, within one week of a missed period,  with a small-bore vacuum cannula can be performed in an office setting by a properly…

Determine the methods of early abortion for which a woman is eligible based on medical and other factors. Then after the options, with pros and cons, have been objectively and thoroughly explained,…

Summary of Recommendations
1. Manual vacuum aspiration can be performed safely and effectively in an office setting up to 10 weeks’ gestation. (B)

2. A cannula size in mm…