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Methods of Abortion in First and Second Trimester

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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 guidelines were done. 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.
Cite this paper
Lim, L. and Singh, K. (2014) Methods of Abortion in First and Second Trimester. Open Journal of Obstetrics and Gynecology, 4, 924-929. doi: 10.4236/ojog.2014.415130. 
 

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