First-trimester Procedural Abortion

Clin Obstet Gynecol. 2023 Dec 1;66(4):676-684. doi: 10.1097/GRF.0000000000000808. Epub 2023 Sep 19.

Abstract

First-trimester abortion is a common and safe procedure. A focused history and physical examination are essential for providing this care. Laboratory assessment can include Rh typing, hemoglobin, and cervicitis testing as indicated by a patient's risk factors. Procedural abortion in the first trimester includes cervical dilation with or without cervical preparation, and uterine evacuation utilizing a manual vacuum aspirator or electric vacuum aspirator. Complications occur rarely and are often easily managed at the time of diagnosis.

MeSH terms

  • Abortion, Induced* / adverse effects
  • Abortion, Induced* / methods
  • Abortion, Spontaneous*
  • Cervix Uteri
  • Female
  • Humans
  • Pregnancy
  • Pregnancy Trimester, First
  • Pregnancy Trimester, Second
  • Vacuum Curettage / adverse effects
  • Vacuum Curettage / methods