{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T23:56:23Z","timestamp":1773014183965,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T00:00:00Z","timestamp":1753747200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T00:00:00Z","timestamp":1753747200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>An estimated 73.3 million abortions occur annually worldwide. Second\u2010trimester abortion is known to carry a higher risk of complications than first\u2010trimester abortion, though the absolute risk is thought to be low. There is limited Australian data about second\u2010trimester surgical abortions and no studies have looked at surgical complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study aimed to determine the complication rate of second\u2010trimester surgical abortions at an Australian tertiary maternity hospital across a 5\u2010year period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A retrospective audit was conducted from 1 January 2019 to 31 December 2023. Inclusion criteria were women and pregnant people with a gestation of 14\u2009+\u20090 to 23\u2009+\u20096\u2009weeks who underwent dilation and evacuation for termination of pregnancy. The primary outcome was the rate of complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Two thousand, one hundred and sixty\u2010four D&amp;Es were performed for termination of pregnancy across the study period. Forty\u2010seven of these women experienced complications, equating to a complication rate of 2.17%. The major complication rate was 0.55% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200912). The overall complication rate was significantly lower in women under 20\u2009weeks' gestation compared to women over 20\u2009weeks (1.71% vs. 4.19%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.007). This difference was significant when comparing minor complication rates only (RR 0.32, 95% CI 0.16\u20130.61); major complication rates demonstrated no significant difference between gestation groups (RR 1.12, 95% CI 0.25\u20135.15).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study demonstrates that surgical second\u2010trimester abortions are safe. Increased complication risk with increased gestational age is evident, highlighting the importance of timely access to abortion care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajo.70062","type":"journal-article","created":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T05:53:31Z","timestamp":1753854811000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Second\u2010Trimester Surgical Abortion Is Safe: Audit of Complication Rates at an Australian Tertiary Hospital"],"prefix":"10.1111","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8710-4360","authenticated-orcid":false,"given":"Elise","family":"Farrington","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, the Royal Women's Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-5403-2235","authenticated-orcid":false,"given":"Annabelle","family":"Huguenin","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynaecology and Newborn Health The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"Moore","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, the Royal Women's Hospital  Melbourne Victoria Australia"},{"name":"Department of Obstetrics, Gynaecology and Newborn Health The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9969-4131","authenticated-orcid":false,"given":"Aekta","family":"Neel","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, the Royal Women's Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,29]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(20)30315-6"},{"key":"e_1_2_7_3_1","volume-title":"Induced Abortion in Australia: 2000\u20132020","author":"Wright S. 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