Practice Bulletin No. 135: Second-Trimester Abortion

@article{2013PracticeBN,
  title={Practice Bulletin No. 135: Second-Trimester Abortion},
  author={},
  journal={Obstetrics \& Gynecology},
  year={2013},
  volume={121},
  pages={1394–1406}
}
  • Published 1 June 2013
  • Medicine
  • Obstetrics & Gynecology
Second-trimester abortion is an important component of comprehensive women’s health care, and women seek termination later in pregnancy for a variety of medical and social reasons. Circumstances that can lead to second-trimester abortion include delays in suspecting and testing for pregnancy, delay in obtaining insurance or other funding, and delay in obtaining referral, as well as difficulties in locating and traveling to a provider (5). Poverty, lower education level, and having multiple… 
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The use of mifepristone and misoprostol for second-trimester abortion has improved safety and efficacy of medical and surgical methods when used alone or in combination and as adjuncts to osmotic dilators.
Current and potential methods for second trimester abortion.
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Although medical methods may seem to be more effective in the process of termination, mechanical methods seem more reliable in terms of reliability.
Update on second trimester medical abortion
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References

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Risk Factors Associated With Presenting for Abortion in the Second Trimester
TLDR
Public health interventions could promote earlier recognition of pregnancy, more timely referrals, more easily obtainable public funding, and improved abortion access for indigent women.
Surgical and medical second trimester abortion in South Africa: A cross-sectional study
TLDR
As currently performed in South Africa, second trimester abortions by D&E were more effective than induction procedures, required shorter hospital stay, had fewer major immediate complications and were associated with shorter delays accessing care.
Who has second-trimester abortions in the United States?
Morbidity and mortality from second-trimester abortions.
TLDR
D&E appears to be the safest method of second-trimester abortion available in the United States, according to the third phase of the Joint Program for the Study of Abortion.
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TLDR
The past two decades have brought important advances in abortion care as well as increasing cross-disciplinary use of abortion technologies in women's health care, and fetal reduction techniques are now well-integrated into infertility treatment to reduce the risks of multiple pregnancies resulting from assisted reproductive technologies.
Management of Unintended and Abnormal Pregnancy: Comprehensive Abortion Care
TLDR
The past two decades have brought important advances in abortion care as well as increasing cross-disciplinary use of abortion technologies in women's health care, and fetal reduction techniques are now well-integrated into infertility treatment to reduce the risks of multiple pregnancies resulting from assisted reproductive technologies.
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