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What are the physical risks of surgical abortions?(15)

First Trimester

  • 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 other instruments.
  • Infection, local and systemic (sepsis).
  • Hemorrhage and shock, especially if the uterine artery is torn.
  • Anesthesia toxicity from both general or local anesthesia, resulting in possible convulsions, cardiorespiratory arrest, and in extreme cases, death. General anesthesia in abortion has a two to four times greater risk of death than local anesthesia.
  • Retained tissue, indicated by cramping, heavy bleeding and infection.
  • Postabortal syndrome, referring to an enlarged tender, and soft uterus retaining blood clots.
  • Failure to recognize an ectopic pregnancy. This could lead to the rupture of a fallopian tube and hemorrhage and resulting infertility or death, if treatment is not provided in time.

Second Trimester

Infusion Methods

  • Adverse reactions by the mother to the chemicals used in the abortion.
  • “Failed abortion,” also known as “live birth.”
  • Retained tissue, including the placenta.
  • Uterine rupture, with resulting severe pain and blood loss. May require major surgery, including hysterectomy.
  • Cervical laceration, perforation, heavy bleeding or hemorrhage, and infection.

Dilation and Evacuation (D&E)

  • Trapped fetal parts, leading to possible damage to the uterus and nearby organs, such as the bowel and bladder.
  • Laceration and perforation of the uterus and/or cervix by fetal parts and/or the larger instruments used in these mid-term abortions.
  • Greater risk of hemorrhage.

15. Hern, op.cit., pp.175ff.


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