- Dilatation and evacuation (D&E) and medical methods (mifepristone and misoprostol; misoprostol alone) are both recommended methods for abortion for gestations over 12 to 14 weeks. Facilities should offer at least one, and preferably both, methods if possible, depending on provider experience and the availability of training.
(Strength of recommendation: strong)
- Evidence for this question is limited by women’s willingness to be randomized in clinical trials between surgical and medical methods of abortion.
- The quality of the evidence based on randomized controlled trials is low.
- A woman’s choice of abortion method may be limited or not applicable if she has medical contraindications to one of the methods.