In general, abortion has a higher risk of complications than contraception or sterilization, especially for young women. The risk of complications from an abortion is related to the length of the pregnancy and the abortion method used. The longer a woman has been pregnant, the greater the risk. Complications are uncommon when an abortion is performed by a trained health care practitioner in a hospital or clinic.
The uterus is perforated by a surgical instrument in 1 of 1,000 abortions. Sometimes the intestine or another organ is also injured. Severe bleeding occurs during or immediately after the procedure in 6 of 10,000 abortions. Some techniques can tear the cervix, especially during the 2nd trimester of pregnancy.
Later, infections or blood clots in the legs may develop. Bleeding can occur if part of the placenta is left in the uterus. Very rarely, sterility results from scarring of the uterine lining due to the procedure or a subsequent infection—a disorder called Asherman's syndrome. If the fetus has Rh-positive blood, a woman who has Rh-negative blood may produce Rh antibodies—as in any pregnancy, miscarriage, or delivery. Such antibodies may endanger subsequent pregnancies unless the woman is given injections
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