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Continued Pregnancy After Failed First-Trimester Abortion

Department of Obstetrics and Gynecology, Beth Israel Hospital, Harvard Medical School, and the Charles A. Dana Research Institute, Boston; and Preterm, Brookline, Massachusetts.

By means of simple changes in the observation and recording process after induced first-trimester abortion, it has been possible to reduce the frequency of failed abortion to one third its former incidence. The operator is merely required to note whether the amniotic sac and fetal parts are actually seen on gross examination and flotation in fluid. This formal requirement appears to serve as an alert mechanism to ensure that women at risk will be effectively evaluated and managed.

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				D. Grossman, C. Ellertson, D. A. Grimes, and D. Walker Routine Follow-up Visits After First-Trimester Induced Abortion Obstet. Gynecol., April 1, 2004; 103(4): 738 - 745. [Abstract] [Full Text] [PDF]