| → 9w0d | D&C (suction aspiration) | Week = cannula size 6; MVA = smallest | 40 mL 0.5% lidocaine | Nothing | < 6 weeks, twins |
| 10w0d – 11w6d | D&C (suction aspiration) | EVA / Berkeley | 40 mL 0.5% lidocaine | Misoprostol (buccal 400 mcg). 600 mcg vaginal for <18 y/o or LEEP/CX. | Abdominal vs TVUS |
| 12w0d – 14w6d | D&E (suction, instruments) | Finish with 8 | — | Misoprostol (buccal 400 mcg) | Abdominal U/S; image in chart |
| 15w0d – 19w6d | D&E (suction, instruments) | 14 - Amniotomy; 8 - gritty | Vasopressin 4U in 20 mL 1% lidocaine | Mife + miso (15–16w); osmotic dilators (laminaria, dilapan) | Abdominal U/S; image in chart |
| 20w0d → | D&E (suction, instruments) | 14 - Amniotomy; 8 - gritty | Vasopressin 4U in 20 mL 1% lidocaine | Mife 200 mg + osmotic dilators | Abdominal U/S; image in chart |