Suction curettage is used for pregnancies of up to 18 wk. After that, dilation and evacuation or oxytocic drugs are used. Psychologic problems may develop in a woman whose first pregnancy ends in spontaneous abortion or who has a second or third consecutive spontaneous abortion. Some psychologic upset probably occurs in every patient who has an abortion, whether it is spontaneous, therapeutic, or elective. Usually, sympathetic discussion and counseling can help reassure a couple and diminish their difficulties.
Many communities have active support groups.
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