ObstericsEarly surgical abortion: Efficacy and safety☆,☆☆
Section snippets
Material and methods
The Planned Parenthood League of Massachusetts initiated early surgical abortion services in January 1998. All physicians who performed the procedures had extensive experience in surgical abortion provision, and they were specifically trained and approved to perform early surgical abortions by the first author. The physicians followed the early surgical abortion protocol that had been established by the Massachusetts affiliate in accordance with medical standards and guidelines of the Planned
Results
A total of 1132 eligible women had an early surgical abortion at Planned Parenthood between January 1, 1998, and August 31, 2000. Characteristics of the study population are presented in Table I.Characteristic Empty Cell Age (y) 27 ± 7* Gravidity (No.) 3 (1-13)† 1 329 (29%) 2 220 (19%) 3 185 (16%) 4 157 (14%) ≥5 241 (21%) Parity (No.) 1 (0-7)† 0 503 (44%) 1 285 (25%) 2 223 (20%) ≥3 121 (11%) Previous induced abortion (No.) 554 (49%) Body mass index (kg/m2) 24 ± 6 * Gestational age (d)‡ 35 ± 4* 21-27 7
Comment
In this large prospective case series, early surgical abortion proved to be safe and effective. The overall complication rate among women with follow-up was 4%, and only 2% of women had failed attempted abortions. The study did not identify any specific risk factors for failed abortion, but its power was limited by the small number of complications. The higher failure rate in women who required both manual and electric vacuum aspiration probably reflects technically challenging cases (ie, the
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2018, International Journal of Nursing StudiesCitation Excerpt :Our results also suggest that complication rates did not differ significantly between procedures performed by advanced practice clinician trainees and physician residents. Furthermore, these complication rates are consistent with other studies of abortion outcomes suggesting that patient care is not compromised during the training process (Bennett et al., 2009; Paul et al., 2002). There was also no difference between the complications experienced in training and those found when the clinicians worked without direct supervision.(
N<sup>o</sup> 360 - Avortement provoqué: avortement chirurgical et méthodes médicales au deuxième trimestre
2018, Journal of Obstetrics and Gynaecology CanadaNo. 360-Induced Abortion: Surgical Abortion and Second Trimester Medical Methods
2018, Journal of Obstetrics and Gynaecology CanadaCitation Excerpt :A PUL, unless intraoperatively confirmed to be an IUP, should be followed with serial serum β-hCG. A 50% drop in levels is expected within 24 hours following successful pregnancy evacuation.128,135–138 While some studies suggest slightly higher pain ratings in early SA,139,140 these can be performed using local anaesthesia.
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The opinions expressed in this article do not necessarily reflect those of Planned Parenthood Federation of America, Inc.
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Reprints not available from the authors.