title: First-trimester surgical abortion technique.
abstract: New data have emerged to support changes in first-trimester abortion practice in regard to antibiotic prophylaxis, cervical ripening, the use of manual vacuum aspiration, and pain management. This article addresses these new recommendations and reviews techniques in performing manual and electric vacuum uterine aspiration procedures before 14 weeks' gestation, including very early abortion (<7 weeks' gestation), technically difficult abortions, management of complications, and postabortal contraception. The information discussed also applies to miscarriage management.
authors.affiliation: Department of Family and Community Medicine, University of New Mexico, MSC 09 5040, 1 University of New Mexico, Albuquerque, NM 87131, USA. Electronic address: nyonke@salud.unm.edu.
authors.forename: Nicole
authors.initials: N
authors.lastname: Yonke
authors.forename: Lawrence M
authors.initials: LM
authors.lastname: Leeman
mesh_terms: D000020:Abortifacient Agents, Nonsteroidal / Q000627:therapeutic use*; D000028:Abortion, Induced / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D019072:Antibiotic Prophylaxis / Q000379:methods; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D003376:Counseling / Q000379:methods; D005260:Female; D006801:Humans; D008423:Maternal Age; D008499:Medical Records; D016595:Misoprostol / Q000627:therapeutic use*; D061214:Patient Safety; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D034121:Reproductive Health Services; D014619:Vacuum Curettage / Q000009:adverse effects / Q000379:methods*
chemical_list: D000020:Abortifacient Agents, Nonsteroidal; D016595:Misoprostol
keywords: Electric vacuum aspiration; First-trimester abortion; Manual vacuum aspiration; Surgical abortion