Question

For terminations during the second trimester (\(\ge 14\) weeks) requiring cervical preparation using agents like laminaria or misoprostol, which surgical procedure is typically performed?

Options

• Dilatation and Evacuation (D&E)

• Manual Vacuum Aspiration (MVA)

• Simple Dilatation and Curettage (D&C)

• Electric Vacuum Aspiration (EVA)

Answer 1

Dilatation and Evacuation (D&E) is specifically utilized for second-trimester terminations (\(\ge 14\) weeks). It is more complex than a standard first-trimester D&C, requires cervical preparation (e.g., laminaria or misoprostol), and must be performed by skilled obstetricians.