Abortionis a very controversial issue, but, through education and betterunderstanding of the facts, we can make more informed decisionsconcerning abortion and pregnancy.

First Trimester procedure (1-12 weeks)

1. Suction Curettage - Thephysician dilates (opens) the *cervix with a series of gradually largerdilators or the physician may choose to use the *laminaria procedure.  During the abortion, the doctor attaches tubing to a suction machineand inserts the tubing into the uterus. The suction created by thevacuum pulls the pre-born's body apart and detaches the placenta fromthe wall of the uterus, sucking the fetal parts and placenta into a collection bottle.

2. Manual Vacuum Aspiration - Thismethod is only done up to 10 weeks. The cervix is dialated and theuterus is emptied with a handheld syringe by applying manual suction.

3. Dilation and Curettage (D&C, or sharp curettage) - Thismethod is not common since it is considered less safe than suctioncurettage. The *cervix is dilated and a curette, or loop-shaped tube,is inserted into the uterus to pull the pre-born's body apart and detach the placenta from the wall of the uterus. All body parts and membranes are then scraped out of the mother's body.

What are the physical risks of first trimester surgical abortions?

• Infection,local and systemic (sepsis).
• Hemorrhage and shock, especially if the uterine artery is torn.
• Retained tissue, indicated by cramping, heavy bleeding, and infection.
• Postabortal syndrome, referring to an enlarged, tender, and soft uterusretaining blood clots.
• Cervical tearing and laceration from the instruments.
• Perforation of the uterus by instruments. May require major surgery,including hysterectomy.
• Scarring of the uterine lining by suction tubing, curettes, and otherinstruments.
• Failure to recognize an ectopic pregnancy. This could lead to therupture of a fallopian tube and hemorrhage. The result could beinfertility or death, if treatment is not provided in time.
• Anesthesia risk- the same as the risks of undergoing anesthesia for any other procedure.

*cervix - the opening to the uterus or womb.
*laminaria - a porous material which expands with moisture in order toopen and soften the   cervix.