Surgical abortion

G M M Flett, A Templeton

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

This review of surgically-induced abortion focuses on conventional first trimester suction evacuation. Manual vacuum aspiration at early gestations and dilatation and evacuation at more advanced gestation are also considered. The place of surgical abortion in contemporary abortion practice is reviewed alongside developments in medical abortion. There is still debate about the best method for later abortions. Patient choice and pre-procedure assessment are considered fundamental to practice. The importance of antibiotic prophylaxis or infection screening is highlighted. The value of ultrasound emerges. The need for cervical priming is considered along with choice of suitable pharmacological agents. Current practice and the procedure of surgical abortion is outlined. Complications and strategies to minimize risk are detailed. The overview concludes with consideration of the impact on future reproductive health.

Original languageEnglish
Pages (from-to)247-261
Number of pages15
JournalBest Practice & Research Clinical Obstetrics & Gynaecology
Volume16
DOIs
Publication statusPublished - 2002

Keywords

  • surgically induced abortion
  • cervical priming
  • mifepristone
  • misoprostol
  • ultrasound
  • antibiotic prophylaxis
  • complications
  • FIRST-TRIMESTER TERMINATION
  • VACUUM ASPIRATION
  • 1ST TRIMESTER
  • 1ST-TRIMESTER ABORTION
  • THERAPEUTIC-ABORTION
  • UTERINE PERFORATION
  • VAGINAL MISOPROSTOL
  • CERVICAL DILATATION
  • CURETTAGE ABORTION
  • SUCTION CURETTAGE

Cite this