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Summary
This is a retrospective study of 614 women undergoing first trimester medical termination of pregnancy (TOP) from 1 January to 31 December 2006, at Nottingham Contraception and Sexual Health service. All women were in the gestational age of 6–9 weeks. The results showed that three women had blood loss of more than 500 ml and had to be transfused. All patients requiring blood transfusion were over 8 weeks' gestation. A total of 84 (13.8%) patients returned as planned to the unit for follow-up scan because of uncertainty over completeness of abortion. All patients (1.13%) who needed surgical intervention were more than 8 weeks' gestation. A total of 27 patients (4.3%) required admission overnight, the main indication being lack of support at home. Early medical TOP was successful in over 98% of women and allowed them to avoid the risks of surgical instrumentation and anaesthesia. Early medical abortion is a safe and effective procedure and deserves to be more widely available and utilised.