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  Vol. 7 No. 6, November 1998 TABLE OF CONTENTS
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Manual Vacuum Aspiration for First-Trimester Abortion

John M. Westfall, MD, MPH; Aris Sophocles, MD, JD; Holly Burggraf, MD; Sarah Ellis, MD

Arch Fam Med. 1998;7:559-562.

Objective  To assess the safety and effectiveness of manual vacuum aspiration for abortion in a primary care office setting.

Design  Retrospective chart audit.

Setting  Private family practice office.

Patients  A total of 1769 consecutive women who obtained an abortion in this office between January 1, 1993, and December 31, 1995, for whom 1677 medical charts were available for review.

Main Outcome Measures  Rate of complete abortion, estimated blood loss, and rate of complications. Complications included early complications of uterine perforation, cervical injury, and hospitalization, and late complications of pelvic infection and retained products of conception.

Results  Overall, manual vacuum aspiration was 99.5% effective in terminating pregnancy through 12 weeks of gestation. There were no major complications, and the minor complications of retained products of conception and infection were easily treated.

Conclusion  Manual vacuum aspiration performed in a primary care office setting is safe and effective in terminating pregnancy through the end of the 10th week of gestation.


From the Department of Family Medicine, University of Colorado Health Sciences Center, Denver.



THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

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J Am Board Fam Med 2009;22:169-174.
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Morbidity of first trimester aspiration termination and the seniority of the surgeon
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Hum Reprod 2001;16:875-878.
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A comparative study of surgical and medical procedures: 932 pregnancy terminations up to 63 days gestation
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A 26-Year-Old Woman Seeking an Abortion
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JAMA 1999;282:1169-1175.
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