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Dilatation and evacuation for induced abortion in developing countries: advantages and disadvantages.


 The gestational age threshold of 12 weeks for induced abortion by curettage procedures has been challenged in the US and other developed countries. Dilatation and evacuation procedures take a shorter time, have a lower failure rate, are less expensive, and have a lower incidence of complications than either instillation or hysterotomy techniques. Thus dilatation and evacuation may offer unique advantages to higher risk women in developing countries and may make more efficient use of the limited personnel and facilities in these areas.
