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[The voluntary interruption of pregnancy]
1INSERM Unité 149, Villejuif.
Abstract:
In 1987, 162,352 legal abortions have been recorded in France; 55% of them were performed before 9 weeks of amenorrhea. Abortions were performed earlier among married than among unmarried women, and the proportion of early abortions increased with the women's age. The method of abortion was: vacuum aspiration for 73% of women, curettage (associated to vacuum aspiration or not) for 21%; 65% had their abortion performed under general anaesthesia, and 19% under local anaesthesia. Since 1976, there has been an increasing proportion of vacuum aspirations, and of local anaesthesia. In the private sector, abortions were performed at an earlier gestational age, but curettage was more frequent than in the public sector, and general anaesthesia, quasi systematic. There were also wide regional variations. There results were consistent across years. Data are collected on the day of intervention; thus, they do not allow an exhaustive estimation of the rate of complications: in 30% of cases, the information was missing. For the cases for whom the information was available, the rate of immediate complications was 0.6%. In 1990, modification of the notification form should allow better monitoring of new techniques.