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Morbidity of surgical induced abortion between 14 and 16 weeks of gestation
Aurélie Jugnet1, Lise Amart1, Hamza Benjelloun2
1Obstetric and Gynaecology Department, La Conception Hospital, Assistance Publique- Hôpitaux de Marseille, Aix Marseille University, France.
Objective:
To assess the morbidity associated with surgical induced abortion (SIA) using the dilation and evacuation (D&E) technique between 14 and 16 weeks of gestation (WG).
Material And Methods:
A retrospective single-center cohort study was conducted at Hôpital de la Conception, Marseille, including patients who underwent SIA between 14 and 16 WG from April 4, 2022, to February 8, 2024.
Results:
Among the 127 patients included, 17 cases (13.39%) of haemorrhage (blood loss > 500 mL) were reported, 1 case (0.79%) required a hemostatic hysterectomy and a blood transfusion due to placenta accreta, 2 cases (1.57%) involved cervical lacerations, and 2 cases (1.57%) postoperative infections. No uterine perforations or secondary surgeries for retained products were reported. Blood loss volume decreased over the course of the study (beta -0.55; 95% CI -0.79, -0.30; p < 0.001).
Conclusion:
SIA using the D&E method between 14 and 16 WG is a procedure with a low risk of major complications. As with any surgical procedure, this technique requires a learning curve.
