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Articles linked to this work by shared authors, journal, and citation graph.

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Necrotizing Uterine Infection After Dilation and Evacuation: A Case Report.

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Laparoscopic Salpingectomy Cancellations: Patient-Reported Reasons and Areas for Improvement.

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Texas' Abortion Ban Conflicts With Person-Centered Health Care: Experiences of Texans With Medically Complex Pregnancies.

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Updated: Jun 22, 2026

Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators
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Procedural Abortion: Setting, Safety, and Patient Access.

Lauren Thaxton1, Megan Masten1

  • 1Division of Complex Family Planning, Department of Obstetrics and Gynecology, University of Colorado, Denver, CO, USA.

Obstetrics and Gynecology Clinics of North America
|May 4, 2025
PubMed
Summary

Procedural abortion, a common and safe procedure for pregnancy removal, involves uterine aspiration or extraction. Clinicians must consider setting, anesthesia, and potential complications like hemorrhage, while access is increasingly restricted.

Keywords:
Dilation and curettageDilation and evacuationPregnancy terminationProcedural abortionUterine aspiration

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Area of Science:

  • Medical procedures
  • Gynecology
  • Reproductive health

Background:

  • Procedural abortion is a common medical intervention for pregnancy termination.
  • It is recognized as a safe procedure with a long history of clinical use.
  • Factors influencing procedural safety include clinical setting, anesthesia, and complication management.

Purpose of the Study:

  • To provide an overview of procedural abortion.
  • To highlight key considerations for clinicians performing the procedure.
  • To acknowledge the impact of access restrictions on abortion procedures.

Main Methods:

  • Review of existing literature on procedural abortion.
  • Analysis of safety data and common complications.
  • Discussion of clinical decision-making factors.

Main Results:

  • Procedural abortion is a highly safe and common procedure.
  • Potential complications include hemorrhage, requiring careful management.
  • Choice of setting and anesthesia are critical for patient safety.

Conclusions:

  • Procedural abortion remains a safe and essential reproductive healthcare service.
  • Effective management of potential complications is crucial.
  • Current restrictions on abortion access pose a significant barrier to care.