OBJECTIVE: Our purpose was to compare the complication rate of first-trimester suction curettage with that of second-trimester dilation-and-evacuation abortions in the same clinical setting. STUDY DESIGN: Retrospective analysis (chart review) of the 3772 induced abortions performed between 1986 and 1990 at the Family Planning Clinic of the Centre Hospitalier Universitaire de Sherbrooke, Quebec, Canada. RESULTS: Among the 3355 cases with known follow-up (89%), the complication rate was 5.1% for the 2908 suction curettages at < 15 weeks' gestation compared with 2.9% for the 447 dilation-and-evacuation procedures at 15 to 20 weeks' gestation. Serious complications were few and not increased among patients undergoing dilation and evacuation. CONCLUSION: A careful approach to second-trimester dilation-and-evacuation procedures can make them comparatively as safe as suction curettages, contrary to common belief derived from large surveys done in the late 1970s.
OBJECTIVE: Our purpose was to compare the complication rate of first-trimester suction curettage with that of second-trimester dilation-and-evacuation abortions in the same clinical setting. STUDY DESIGN: Retrospective analysis (chart review) of the 3772 induced abortions performed between 1986 and 1990 at the Family Planning Clinic of the Centre Hospitalier Universitaire de Sherbrooke, Quebec, Canada. RESULTS: Among the 3355 cases with known follow-up (89%), the complication rate was 5.1% for the 2908 suction curettages at < 15 weeks' gestation compared with 2.9% for the 447 dilation-and-evacuation procedures at 15 to 20 weeks' gestation. Serious complications were few and not increased among patients undergoing dilation and evacuation. CONCLUSION: A careful approach to second-trimester dilation-and-evacuation procedures can make them comparatively as safe as suction curettages, contrary to common belief derived from large surveys done in the late 1970s.
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Keywords:
Abortion, Induced--side effects; Americas; Canada; Cervical Dilatation; Comparative Studies; Curettage; Developed Countries; Family Planning; Fertility Control, Postconception; Follow-up Studies; North America; Northern America; Obstetrical Surgery; Pregnancy; Pregnancy, First Trimester; Pregnancy, Second Trimester; Reproduction; Research Methodology; Retrospective Studies; Studies; Surgery; Surgical Error; Treatment; Vacuum Aspiration