D&E is a safe procedure when performed by experienced practitioners. The rate of mortality following legal procedures in the US is 0.62 legal induced abortion-related deaths per 100,000 reported legal abortions. The strongest risk factor for mortality following abortion is increasing gestational age. Risks of D&E include bleeding, infection, uterine perforation, and damage to surrounding organs or tissues . Hemorrhage occurs following less than 1% of all surgical abortions. Infection rates following second trimester abortion have been reported to be 0.1-4%. The risk of infection is decreased by the use of antibiotics. Rare risks of D&E include uterine perforation, retained products of conception, and rare risk of hysterectomy. There is no evidence that surgical abortion causes an increase in infertility or adverse outcomes in subsequent pregnancies.
Dilation and evacuation
Uterine balloon tamponade
Casualty evacuation
Tubal ligation
Forceps
Resuscitative hysterotomy
Trial of labour
Labor induction