Termination of pregnancy and unsafe abortion

Induced abortion is one of the most commonly performed gynaecological procedures in the world. Medical and surgical methods are available for both first- and second-trimester abortions. Generally, for women presenting between 7 and 14 weeks gestation, vacuum aspiration is an appropriate method. Medical method of abortion is otherwise recommended for women who present before or after that time frame. Clinical guidelines should be available in all healthcare sectors providing abortion services to ensure a uniformly high standard of care for all women requesting abortions. Services should ensure that written, objective, evidence-guided information is available for women considering abortion to take away before the procedure, including complications and sequelae of abortion. Nearly one-half of abortions occurring worldwide are considered unsafe abortions, and these can result in maternal morbidity and mortality. Prevention of unsafe abortion is key, and requires a multi-pronged approach, including provision of contraception and expanded access to safe termination of pregnancy.