Induced, or therapeutic, abortion is the voluntary and deliberate termination of pregnancy. Ideally, every woman seeking abortion should have a complete medical history and physical examination and should have appropriate clinical and laboratory investigations to confirm the pregnancy and its gestation and to rule out concomitant disease. Such women should receive supportive and sympathetic counseling responsive to their circumstances. To provide appropriate information and support, health practitioners caring for these women must be comfortable with all the options available.
The gestational age and the experience and preference of the surgeon determine the method selected to induce abortion. Major complications (relating to anesthesia, hemorrhage, uterine perforation, infection, etc.) arise as gestational age increases. The death rate with first- and early- second-trimester abortion is much less than that with term- or third- trimester pregnancy.
Usually vacuum aspiration can be performed easily and safely under local anesthesia. Premedication with analgesics and/or sedation can be