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Related Experiment Videos

Morbidity and mortality from second-trimester abortions.

D A Grimes, K F Schulz

    The Journal of Reproductive Medicine
    |July 1, 1985
    PubMed
    Summary

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    Dilation and evacuation (D&E) is the safest method for second-trimester abortion. Compared to instillation methods, D&E has a lower risk of serious complications and mortality.

    Area of Science:

    • Reproductive Health
    • Public Health
    • Surgical Safety

    Background:

    • Second-trimester abortion methods require careful safety evaluation.
    • Existing morbidity and mortality data guide clinical practice.

    Purpose of the Study:

    • To compare the safety of different second-trimester abortion procedures.
    • To identify the safest available method for second-trimester abortion.

    Main Methods:

    • Analysis of morbidity and mortality data from abortion studies.
    • Calculation of adjusted relative risk for serious complications.
    • Review of US abortion mortality rates (1972-1981).

    Main Results:

    • Dilation and evacuation (D&E) demonstrated a lower risk of serious complications (relative risk 1.9) compared to intra-amniotic instillation.
    Keywords:
    Abortifacient AgentsAbortion, Drug InducedAbortion, InducedAbortion, Saline SolutionAmericasAnesthesiaBiologyCarboxylic AcidsCauses Of DeathDemographic FactorsDeveloped CountriesDeveloping CountriesDiseasesEndocrine SystemFamily PlanningFertility Control, PostconceptionIngredients And ChemicalsMorbidityMortalityNorth AmericaNorthern AmericaOrganic ChemicalsPhysiologyPopulationPopulation DynamicsPregnancyPregnancy, Second TrimesterProstaglandinsReproductionUnited StatesVacuum Aspiration

    Related Experiment Videos

  • D&E had a death-to-case rate of 4.9 per 100,000 abortions, significantly lower than instillation methods (9.6) and hysterotomy/hysterectomy (>60).

    • Conclusions:

    • Dilation and evacuation (D&E) is the safest method for second-trimester abortion currently available in the United States.
    • Further research is needed on potential long-term sequelae of second-trimester abortion procedures.