In this global procedure, the provider terminates a pregnancy by inserting vaginal suppositories to induce labor contractions and may also insert a laminaria to dilate the cervix. In this service, the patient fails to abort the fetus or the placenta and the provider performs a surgical removal of the fetus and or the placenta. The provider admits the patient to the hospital, inserts the drug and cervical dilator, manages the labor that follows, and then performs the dilation and curettage. The provider then follows the patient in the hospital until discharge. Providers use this method usually after the first trimester, or fourteen weeks and zero days gestation or more.
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