Manual vacuum aspiration for second-trimester pregnancy termination

Todd, C.S.; Soler, M.E.; Castleman, L.; Rogers, M.K.; Blumenthal, P.D.
October 2003
International Journal of Gynecology & Obstetrics;Oct2003, Vol. 83 Issue 1, p5
Academic Journal
journal article
Objectives: To compare manual and electric vacuum aspiration for surgical abortions between 14 and 18 weeks of pregnancy. Methods: A consecutive case series of pregnant women presenting to Johns Hopkins Bayview Medical Center for abortion. There were 73 women in the manual vacuum aspiration group and 37 women in the electric vacuum aspiration group. Dilatation and evacuation was performed using manual or electric vacuum aspiration according to protocol. Procedure time was assessed with the t-test. Results: In all cases, abortion was performed with initial vacuum. Group sizes were sufficient to detect a 20% difference in mean procedure time with 80% power (calculated with two separate S.D.s for procedure time). There was no significant difference in procedure time between the two groups. Conclusions: Manual vacuum aspiration can be safely and effectively used in second-trimester abortion procedures and should be more widely investigated for this purpose.


Related Articles

  • Vaginal misoprostol for second-trimester pregnancy termination after one previous cesarean delivery Naguib, Ahmad H.; Morsi, Hassan M.; Borg, Tamer F.; Fayed, Salah T.; Hemeda, Hosam M. // International Journal of Gynecology & Obstetrics;Jan2010, Vol. 108 Issue 1, p48 

    Objective: To determine the safety and efficacy of using misoprostol vaginally for second-trimester abortion in women with a single previous cesarean delivery.Method: This prospective observational study was carried out at a university hospital in Egypt with 50 pregnant...

  • Sublingual misoprostol for second-trimester abortion Vimala, N.; Dadhwal, V.; Mittal, S. // International Journal of Gynecology & Obstetrics;Jan2004, Vol. 84 Issue 1, p89 

    No abstract available.

  • Effect of lycopene on pre-eclampsia and intra-uterine growth retardation in primigravidas Sharma, J.B.; Kumar, Ashok; Kumar, A.; Malhotra, M.; Arora, R.; Prasad, S.; Batra, S. // International Journal of Gynecology & Obstetrics;Jun2003, Vol. 81 Issue 3, p257 

    Objectives: To observe the effect of the antioxidant lycopene on the occurrence of pre-eclampsia and intrauterine growth retardation in primigravida women. Methods: A total of 251 primigravida women were enrolled in this prospective, randomized controlled study in the second trimester. A total...

  • Factors influencing the choice of laparoscopy or laparotomy in pregnant women with presumptive benign ovarian tumors Lee, Yoo-Young; Kim, Tae-Joong; Choi, Chel Hun; Lee, Jeong-Won; Kim, Byoung-Gie; Bae, Duk-Soo // International Journal of Gynecology & Obstetrics;Jan2010, Vol. 108 Issue 1, p12 

    Objective: To evaluate the factors associated with physicians' choice of laparotomy or laparoscopy in pregnant women with presumptive benign ovarian tumors.Methods: Retrospective comparative analysis of pregnant women who underwent laparotomy or laparoscopy for ovarian...

  • Routine second trimester cervical length screening in low risk women identified women at risk of a 'very' preterm birth but did not reduce the preterm birth rate: a randomised study from India. Mishra, Siddhidatri; Bagga, Rashmi; Kalra, Jasvinder; Jain, Vanita; Dutta, Sourabh // Journal of Obstetrics & Gynaecology;Aug2018, Vol. 38 Issue 6, p789 

    Women (n = 300) at 'low risk' for a preterm birth (PTB), a singleton pregnancy and for a 16-24 week period of gestation (POG) were randomised to undergo cervical length (CL) measurement by transvaginal sonography (TVS) or not. The aim was to see if routine CL measurement and...

  • Late-Term Abortion: An Overview. Ballaro, Beverly; Wagner, Geraldine // Points of View: Late-Term Abortion;2017, p1 

    The article presents an overview of late-term abortion which involves the termination of a pregnancy during its more advanced stages. According to estimates, a total of some 1.5 million late-term procedures are performed each year in the U.S. Dilatation and evacuation (D&E) is cited as the most...

  • Successful cerclage in two patients with advanced cervical dilatation in the second trimester. Takai, Noriyuki; Nishida, Masakazu; Urata, Ken'ichiro; Yuge, Akitoshi; Miyakawa, Isao // Archives of Gynecology & Obstetrics;Jun2003, Vol. 268 Issue 2, p102 

    Emergency cerclage in the second trimester is a recognized treatment for a dilatated cervix. Cervical cerclage is usually not attempted with advanced degrees of cervical dilatation because of the poor chances of survival. We had two rare cases of successful cerclage at advanced cervical...

  • Pregnancy outcome of monochorionic twins: does amnionicity matter? Dias, Thiran; Contro, Elena; Thilaganathan, Basky; Khan, Hina; Zanardini, Cristina; Mahsud-Dornan, Samina; Bhide, Amar // Twin Research & Human Genetics;Dec2011, Vol. 14 Issue 6, p586 

    Objective: To compare the fetal loss rate of monochorionic (MC) twin pregnancies according to their amnionicity.Methods: A retrospective review of all MC pregnancy outcomes in a tertiary centre. Pregnancy outcomes were compared for monochorionic monoamniotic (MCMA)...

  • Leptospirosis during dengue outbreak, Bangladesh. LaRocque, Regina C.; Breiman, Robert F.; Ari, Mary D.; Morey, Roger E.; Janan, Firdous Ara; Hayes, John Mosely; Hossain, M. Anowar; Brooks, W. Abdullah; Levett, Paul N. // Emerging Infectious Diseases;May2005, Vol. 11 Issue 5, p766 

    We collected acute-phase serum samples from febrile patients at 2 major hospitals in Dhaka, Bangladesh, during an outbreak of dengue fever in 2001. A total of 18% of dengue-negative patients tested positive for leptospirosis. The case-fatality rate among leptospirosis patients (5%) was higher...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics