COMPLICATIONS OF ABORTION PERFORMED UNDER LOCAL-ANESTHESIA

Objective. To assess the incidence of complications of abortion perfor med under local anesthesia. Design. Prospective study. Setting. A fami ly planning center in the Paris area. Population. Eight hundred and fi fty-eight women admitted for abortion under local anesthesia. Main out come measures. Incidence of immediate (the day of vacuum aspiration) a nd delayed complications (at the follow-up visit 2 weeks after the pro cedure).Results. Among the 858 women who underwent vacuum aspiration, 683 (80%) attended the follow-up visit 2 weeks after the procedure. Fi fty-nine percent of the 858 women had not had a previous abortion, 25% had had one, and 16% had had two or more. The average duration of ame norrhea was 8.6 weeks (19% at 6 or 7 weeks, 67% between 8 and 10 weeks , and 14% after 10 weeks). The overall complication rate was 3.4% (23/ 683) (95% CI=2.0-4.8%). The incidence of immediate complications was 1 .7% (15/858) (0.8-2.6%) and that of delayed complications 1.2% (8/683) (0.4-2.0%). Conclusion. This study confirms the safety and efficacy o f abortion by vacuum aspiration under local anesthesia. (C) 1998 Elsev ier Science ireland Ltd. All rights reserved.