It is fairly common knowledge that abortions carried out early are relatively easy and carry few risks. Yet a small but steady stream of women present in the mid-trimester requesting abortion. Mid-trimester abortions carry greater physical risk and the woman is more likely to suffer psychological consequences, although this may depend on the method used. A dilation and evacuation under general anaesthetic causes less psychological trauma than a prostaglandin induction (Kaltreider, Goldsmith and Margoles, 1979). For the staff involved, mid-trimester abortions are messy and distasteful. Many NHS clinics refuse to see women over 12 weeks’ gestation. Yet this small proportion of women probably require greater skills in surgical technique and counselling, and more emotional support. ‘Why did she leave it so late?’ is the commonly asked question, carrying the undertone that it was somehow the woman’s fault, therefore sparing the health worker any responsibility for helping her.

*98/197/1*

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