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Vacuum aspiration is the recommended method of first trimester abortion when compared with sharp curettage

  • can be carried out either with a
    • manual device - uses a valve and locking plunger in a 60 mL handheld syringe or
    • electrical device

400 µg of the prostaglandin analogue misoprostol either sublingually for two hours or vaginally for three hours is administered before surgery to soften and dilate the cervix (1).
This technique is used in pregnancies of between five and twelve weeks gestation; it can be performed under a local anaesthetic until about the eighth week of gestation.


Last reviewed 01/2018