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February 5, 1982

Second-Trimester Abortion: Perspectives After a Decade of Experience

JAMA. 1982;247(5):693-697. doi:10.1001/jama.1982.03320300089044

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


This book is the most extensive volume currently available concerning the controversial subject of second-trimester abortion.

The carefully referenced proceedings are a result of a national conference on second-trimester abortion held in 1979, when 37 internationally known experts gathered in Chapel Hill, NC, to discuss the medical and social aspects of the second-trimester abortion procedure.

While general agreement exists regarding the best method of terminating first-trimester pregnancies, there has been considerable controversy as to the safety and proper technique in second-trimester terminations, of which more than 100,000 are performed annually in the United States.

The past decade of experience with second-trimester abortion is presented to the reader with authoritative accounts of the available techniques, including indications, contraindications, and complications. While instillation procedures were used more frequently ten years ago, now "D and E" emerges as the method of choice, at least up to the 18th menstrual week. No consensus is