First trimester medical termination of pregnancy: An alternative for New Zealand women

Abstract

Background: First trimester medical terminations of pregnancy (TOP) have been carried out in a private abortion clinic in Auckland

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

“…In 14 office-based studies, <0.1% [30] to 8.0% [22] of abortions required repeat aspiration, primarily for retained products of conception, although Thonneau et al [24] did not explicitly report this intervention for the 14 women with retained tissue at follow-up (Table 2). Repeat aspiration ranged from 0% [57] to 5.0% [49] in 18 ASC and hospital-based studies, and we assumed reaspiration was needed for incomplete abortion in two of these studies [40,43].…”

“…of women were hospitalized for suspected retained products of conception provided few details on the complications involved in these cases, making it difficult to determine whether hospitalbased care was necessary [18,30]. The majority of hospital-based studies reported ≥1.0% of women hospitalized for complications, and many were conducted in Scandinavian countries in the 1980's and early 1990's.…”

“…[18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33]. Most of these were conducted in the US and Canada where abortions were typically performed using local anesthesia alone or in combination with moderate…”

Impact of microwave endometrial ablation in the management of subsequent unplanned pregnancy

“…Eighty percent of women abort within 48 hours, with a procedure-related success rate of around 94%. 5,6 Methotrexate has been used either on its own or in combination with misoprostol to induce abortions at fewer than 7 weeks gestation with a success rate of 90%. The mean injection to abortion period ranges from 11 to 23 days.…”

“…The mean injection to abortion period ranges from 11 to 23 days. 6 One must bear in mind that to perform a successful MEA, the cervical canal needs an initial dilation to 9 mm. Our inability to dilate the cervix during the surgical termination may thus point to the likelihood of postablative scarring in the cervical canal.…”