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Am J Obstet Gynecol. 2002 Aug;187(2):407-11.

Early surgical abortion: efficacy and safety.

Author information

1
Department of Obstetrics and Gynecology, University of Massachusetts Medical School, Boston, MA, USA.

Abstract

OBJECTIVE:

Because of concern over the higher rates of failed abortion, many clinicians defer surgical abortion until 7 menstrual weeks or later. We conducted this study to evaluate the efficacy and safety of early surgical abortions that are performed by numerous physicians in a community-based setting.

STUDY DESIGN:

We prospectively gathered data on all eligible patients who had surgical abortions at <6 weeks of gestation at 3 Planned Parenthood clinics from January 1, 1998, to August 31, 2000. Outcomes were evaluated with the use of proportions with 95% CI and chi(2) analysis.

RESULTS:

A total of 1132 women had early surgical abortions during the study interval, and follow-up was available for 750 of those women (66%). Seventeen women (2.3%; 95% CI, 1.4%, 3.7%) had failed attempted abortions. Other complications occurred in 13 women.

CONCLUSION:

Early surgical abortion is safe and effective. In this series, the frequency of complications that required curettage was similar to that reported with mifepristone and vaginal misoprostol.

PMID:
12193934
[Indexed for MEDLINE]

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