Methods for Induced Abortion

Trends in timing of prenatal diagnosis and abortion for fetal chromosomal abnormalities

“…9,10 In some regions, second-trimester abortion is less available or unavailable, and patients may have to travel considerable distances for access to providers. 11,12 Thus, changes in timing and methods of screening that lead to earlier prenatal diagnosis can have a significant impact.…”

Screening for Down syndrome based on maternal age or fetal nuchal translucency: a randomized controlled trial in 39 572 pregnancies

“…Early termination is supposed to be both medically and psychologically advantageous. Reviews comparing modern methods of abortion show that the rate of medical complications is low after both first-second-trimester abortions, but that the complications are potentially more serious with second-trimester abortion 13 . Even though we have found no scientific evidence supporting the contention that early termination is psychologically advantageous, this is supported by clinical experience.…”

“…The examinations were performed by 46 midwives with median 11 (interquartile range, [5][6][7][8][9][10][11][12][13][14][15][16][17] years' experience of mid-gestation routine ultrasound examinations. Before the study started, all the midwives had qualified for a certificate of competence in the theory and practice of the 11-14-week scan including NT measurement from The Fetal Medicine Foundation (FMF), London, UK.…”

Intranasal Dexmedetomidine in Termination of First Trimester Pregnancy of Suction Evacuation

“…In USA, many women experience significant pain although obstetric and gynecological (ob/gyn) physicians usually provide a paracervical block of 10-20 mL of 1% lidocaine to relief the pain during suction evacuation [1]. Conscious sedation with combination of intravenous midazolam 1-3 mg and fentanyl 50-100 μg is often used [1], but available studies do not support the efficacy of this practice [2,3]. Deep sedation without intubation is feasible in termination of first trimester pregnancy of suction evacuation in the outpatient setting [4].…”