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Suction, or vacuum aspiration, is used in the first trimester (up to 12 weeks). In this procedure, which normally takes five to ten minutes on an outpatient basis, the cervix (neck of the uterus) is opened gradually with a series of dilators and the uterine contents are withdrawn by means of a small flexible tube called a cannula, which is connected to a vacuum pump...
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To ensure that no fragments of tissue remain, a spoon-tipped metal instrument called a curette may then be used to scrape the uterine lining. Vacuum aspiration soon replaced the traditional early-abortion procedure, dilation and curettage, in which the curette is used to dislodge the fetus. Pregnancies in the earlier part of the second trimester may be terminated by a special suction curettage, sometimes combined with forceps, in a procedure called dilation and evacuation ...
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