Complications from first-trimester aspiration abortion: a systematic review of the literature

White, Kari; Carroll, Erin; Grossman, Daniel

doi:10.1016/j.contraception.2015.07.013

Cited by 90 publications

(52 citation statements)

References 62 publications

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“…Next, the information group read a statement describing the safety of office-based abortion (Figure 1) [14,15] and then reported whether they strongly supported, somewhat supported, somewhat opposed or strongly opposed the requirement, or if they were not sure. They also reported whether they believed that the requirement would make abortion more safe, less safe, have no effect on safety, or did not know.…”

Section: Methodsmentioning

confidence: 99%

Does information about abortion safety affect Texas voters' opinions about restrictive laws? A randomized study

et al. 2017

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Objective To assess whether information about abortion safety and awareness of abortion laws affect voters’ opinions about medically unnecessary abortion regulations. Study design Between May and June 2016, we randomized 1,200 Texas voters to receive or not receive information describing the safety of office-based abortion care during an online survey about abortion laws using simple random assignment. We compared the association between receiving safety information and awareness of recent restrictions and beliefs that ambulatory surgical center (ASC) requirements for abortion facilities and hospital admitting privileges requirements for physicians would make abortion safer. We used Poisson regression, adjusting for political affiliation and views on abortion. Results Of 1,200 surveyed participants, 1,183 had complete data for analysis: 612 in the information group and 571 in the comparison group. Overall, 259 (46%) in the information group and 298 (56%) in the comparison group believed the ASC requirement would improve abortion safety (p=.008); 230 (41%) in the information group and 285 (54%) in the comparison group believed admitting privileges would make abortion safer (p<.001). After multivariable adjustment, the information group was less likely to report the ASC (Prevalence Ratio [PR]: 0.82; 95% CI: 0.72–0.94) and admitting privileges requirements (PR: 0.76; 95% CI: 0.65–0.88) would improve safety. Participants who identified as conservative Republicans were more likely to report that the ASC (82%) and admitting privileges requirements (83%) would make abortion safer if they had heard of the provisions than if they were unaware of them (ASC: 52%; admitting privileges: 47%; all p<.001). Conclusions Informational statements reduced perceptions that restrictive laws make abortion safer. Voters’ prior awareness of the requirements also was associated with their beliefs. Implications Informational messages can shift scientifically unfounded views about abortion safety and could reduce support for restrictive laws. Because prior awareness of abortion laws does not ensure accurate knowledge about their effects on safety, it is important to reach a broad audience through early dissemination of information about new regulations.

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Section: Methodsmentioning

confidence: 99%

Does information about abortion safety affect Texas voters' opinions about restrictive laws? A randomized study

et al. 2017

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“…In addition, several states have passed bills that place limits on the gestational age at which abortions can be performed, require abortion providers to have admitting privileges at a nearby hospital and require facilities that perform abortions to meet the standards for ambulatory surgical centers. Proponents of these provisions often claim they will make abortion safer, despite substantial evidence that abortion is very safe and that restricted access to care may increase health risks to women …”

mentioning

confidence: 99%

“…Proponents of these provisions often claim they will make abortion safer, despite substantial evidence that abortion is very safe and that restricted access to care may increase health risks to women. 2,3 Public opinion polls and surveys on abortion have focused primarily on whether abortion should be legal. Although the data consistently show that the majority of Americans support access to legal abortion, [4][5][6] the standard questions provide little insight into public opinion about laws that restrict-rather than prohibit-abortion.…”

mentioning

confidence: 99%

Women's Knowledge of and Support for Abortion Restrictions in Texas: Findings from a Statewide Representative Survey

White

Potter

Stevenson

et al. 2016

Perspect Sexual Reproductive

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CONTEXT States have passed numerous laws restricting abortion, and Texas passed some of the most restrictive legislation between 2011 and 2013. Information about women’s awareness of and support for the laws’ provisions could inform future debates regarding abortion legislation. METHODS Between December 2014 and January 2015, some 779 women aged 18–49 participated in an online, statewide representative survey about recent abortion laws in Texas. Poisson regression analysis was used to assess correlates of support for a law that would make obtaining an abortion more difficult. Women’s knowledge of specific abortion restrictions in Texas and reasons for supporting these laws were also assessed. RESULTS Overall, 31% of respondents would support a law making it more difficult to obtain an abortion. Foreign-born Latinas were more likely than whites to support such a law (prevalence ratio, 1.5), and conservative Republicans were more likely than moderates and Independents to do so (2.3). Thirty-six percent of respondents were not very aware of recent Texas laws, and 19% had never heard of them. Among women with any awareness of the laws, 19% supported the requirements; 42% of these individuals said this was because such laws would make abortion safer. CONCLUSIONS Many Texas women of reproductive age are unaware of statewide abortion restrictions, and some support these requirements because of misperceptions about the safety of abortion. Advocates and policymakers should address these knowledge gaps in efforts to protect access to legal abortion.

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“…Major complications of MVA such as excessive bleeding requiring blood transfusion, uterine perforation and hospitalization were reported to be less than 1% and none recorded in our study. 18,19 In our study, Visual Analogue Scale was chosen due to its ease of use, and widely used in other studies. 12,20 Using opiods as the analgesia, most of our patients (90%) reported mild to moderate pain (score of 7 or less) during the procedure with the mean score of 4.5, comparable to a study using Meperidine (mean score 5.7; 59% reported mild to moderate pain).…”

Section: Discussionmentioning

confidence: 99%

Manual vacuum aspiration: a safe and effective surgical management of early pregnancy loss

Azman¹,

Sakri²,

Kusni³

et al. 2019

Int J Reprod Contracept Obstet Gynecol

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One of the most important aspect of surgical intervention is pain control, to ensure the procedure can be completed with minimal or no distress to the patients. Analgesia that had be used in MVA include oral, rectal or parenteral analgesia, intracervical analgesia, paracervical block, Entonox, oral and parenteral opiod or combination of these techniques. 5-11 All these methods had been shown to be effective in providing pain relieve during MVA, but the factors that may contribute to the pain sensation had not been adequately addressed. Here we are discussing the pain perception of our patients during MVA and the associated factor. ABSTRACTBackground: Manual vacuum aspiration (MVA) is an alternative to the standard sharp uterine curettage, performed under local anaesthetic or sedation in the daycare setting. The objectives of this study were to assess the efficacy and safety of MVA, the pain perception and the factors related to it. Methods: This was a prospective observational study of 58 consecutive patients who had undergone Manual Vacuum Aspiration (MVA) in Early Pregnancy Assessment Clinic, Hospital Kemaman between January and December 2017. Data on the patients' characteristics and the procedures were analysed. Results: The efficacy of the procedure was 96.5% (56/58) with no major complication recorded. Majority of the patients (91.3%) reported mild to moderate pain with 2/3 of them agreed to undergo MVA in the future and would recommend it to other patients. There was no significant difference in mean pain score between different groups of women (parity, education levels, occupations, previous uterine evacuation) or procedural techniques (analgesia, sedation, cervical block, cervical dilatation, procedure duration, number of aspiration passes). Conclusions: MVA is safe and well accepted procedure for out-patient surgical evacuation of early miscarriages.

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Complications from first-trimester aspiration abortion: a systematic review of the literature

Cited by 90 publications

References 62 publications

Does information about abortion safety affect Texas voters' opinions about restrictive laws? A randomized study

Does information about abortion safety affect Texas voters' opinions about restrictive laws? A randomized study

Women's Knowledge of and Support for Abortion Restrictions in Texas: Findings from a Statewide Representative Survey

Manual vacuum aspiration: a safe and effective surgical management of early pregnancy loss

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