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Second-trimester surgical abortion.

Sarah Ward Prager1, Deborah Jean Oyer

  • 1University of Washington, Harborview Medical Center daggerAurora Medical Services, Seattle, WA 98104, USA. pragers@u.washington.edu

Clinical Obstetrics and Gynecology
|May 2, 2009
PubMed
Summary

Second-trimester surgical abortion, primarily dilation and evacuation, is common. This review details procedures, ultrasound use, pain management, and postoperative care for second-trimester abortion.

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Supported at-home abortion: An exploratory study of methods, outcomes, and motivations of community-led abortion care in the United States and Canada.

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Area of Science:

  • Medical Science
  • Surgical Procedures
  • Reproductive Health

Background:

  • Second-trimester surgical abortion has been widely adopted since the 1970s.
  • It currently represents the majority of abortion procedures in the United States.
  • Dilation and evacuation (D&E) is the predominant method for second-trimester abortions.

Purpose of the Study:

  • To provide a detailed overview of surgical abortion procedures in the second trimester.
  • To discuss various methods including dilation and curettage (D&C) and intact dilation and extraction (IDE).
  • To review essential aspects of second-trimester abortion care.

Main Methods:

  • Detailed review of surgical abortion techniques.
  • Discussion of adjunctive medical interventions.

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  • Examination of clinical considerations and patient care protocols.

    • Main Results:

    • Dilation and evacuation (D&E) is the most frequent second-trimester procedure.
    • Dilation and curettage (D&C) is applicable for earlier gestations.
    • Intact dilation and extraction (IDE) is a less common procedure for later gestations.

    Conclusions:

    • Comprehensive understanding of second-trimester abortion procedures is crucial.
    • Integration of ultrasound, uterotonics, and pain management optimizes care.
    • Appropriate facility location and postoperative care are vital for patient outcomes.