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Related Experiment Videos

Midtrimester dilatation and evacuation abortion

D A Grimes, J F Hulka

    Southern Medical Journal
    |April 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Outpatient D&E (dilatation and evacuation) offers a safe alternative for midtrimester abortions between 13-16 weeks. Initial results show no complications, suggesting its potential over traditional prostaglandin methods.

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    Area of Science:

    • Medical Science
    • Obstetrics & Gynecology
    • Reproductive Health

    Background:

    • Midtrimester abortions traditionally utilize prostaglandin F2 alpha instillation, often requiring hospitalization.
    • Reports suggest lower morbidity associated with dilatation and evacuation (D&E) procedures.

    Purpose of the Study:

    • To develop and evaluate an outpatient D&E technique for midtrimester abortions (13-16 weeks' gestation).
    • To assess the feasibility and initial safety of this outpatient D&E method.

    Main Methods:

    • A D&E technique was developed for outpatient use between 13-16 weeks' gestation.
    • The procedure involved overnight laminaria treatment, intracervical lidocaine with epinephrine block, and Bierer forceps extraction for pregnancies ≥15 weeks.
    • Nineteen women were offered this outpatient D&E instead of standard hospitalization and prostaglandin instillation; all accepted.

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    Main Results:

    • All 19 women successfully underwent the outpatient D&E procedure.
    • No complications were reported during or after the procedure.
    • The method was successfully implemented in an outpatient setting.

    Conclusions:

    • Outpatient D&E appears to be a safe and feasible option for midtrimester abortion (13-16 weeks' gestation).
    • This favorable initial experience warrants further investigation into the comparative safety of D&E versus prostaglandin instillation for midtrimester abortions.