TITLE:
Methods of Abortion in First and Second Trimester
AUTHORS:
Li Min Lim, Kuldip Singh
KEYWORDS:
Abortion, Surgical, Medical, Trimester
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.4 No.15,
November
5,
2014
ABSTRACT: Background: Medical and surgical
methods are available for abortions in both the first and second trimester.
Aim: To review the evidence base and current recommendations for available methods
of abortions in first and second trimesters. Methods: Extensive literature
search and review of available guidelinesweredone. Results: In the first trimester,
medical methods are recommended below 7 weeks gestation while vacuum aspiration
is an appropriate method between 7 to 12 weeks gestation. In the second
trimester, the three methods of abortion available are dilatation and
evacuation, intrauterine instillation of abortifacients and administration of
systemic abortifacients. Conclusion: The choice of techniques depends on many
factors including uterine volume, operator experience, patient preference,
medical history and indication for abortion.