Geburtshilfe Frauenheilkd 2023; 83(10): 1205-1220
DOI: 10.1055/a-2078-8118
GebFra Science

Abortion in the First Trimester. Guideline of the DGGG (S2k-Level, AWMF Registry No. 015-094, December 2022) – Part 1 with Recommendations on Care Structures, Information and Advice on Decision-Making, Measures Before Abortion and Medical Abortion

Article in several languages: English | deutsch
Matthias David
1   Charité – Universitätsmedizin Berlin, Klinik für Gynäkologie, Campus Virchow-Klinikum, Berlin, Germany
Anne Achtenhagen
2   donum vitae e. V., Beratungsstelle Kurfürstendamm, Berlin, Germany
Christian Bamberg
3   Klinik und Poliklinik für Geburtshilfe und Pränatalmedizin, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany
Cornelia Bormann
4   Frauenklinik an der Elbe, Deichtor Center, Hamburg, Germany
Ursula Felderhoff-Müser
5   Klinik für Kinderheilkunde I Neonatologie, Päd. Intensivmedizin, Päd. Infektiologie, Neuropädiatrie Zentrum für Kinder- und Jugendmedizin, Essen, Germany
Sylvia Groth
6   Arbeitskreis Frauengesundheit in Medizin, Psychotherapie und Gesellschaft (AKF) e. V., Berlin, Germany
Kristina Hänel
7   Gießen, Germany
Klaus König
8   Essen-Werden, Germany
Matthias Korell
9   Klinik für Gynäkologie und Geburtshilfe mit Brustzentrum am Johanna-Etienne-Krankenhaus, Neuss, Germany
Susanne Michl
10   Institut für Geschichte der Medizin und Ethik in der Medizin, Charité – Universitätsmedizin Berlin, Berlin, Germany
Silke Redler
11   Institut für Humangenetik, Medizinische Fakultät und Universitätsklinikum Düsseldorf, Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Germany
Ekkehard Schleußner
12   Klinik für Geburtsmedizin, Universitätsklinikum Jena, Friedrich-Schiller-Universität, Jena, Germany
Helga Seyler
13   Familienplanungszentrum, Hamburg, Germany
Markus Wallwiener
14   Universitäts-Frauenklinik, Heidelberg, Germany
Stephanie Wallwiener
15   Universitätsfrauenklinik Heidelberg, Sektion Geburtshilfe, Heidelberg, Germany
› Author Affiliations


Purpose The aim was to develop evidence-based recommendations where possible. The guideline presents the medical principles and scientific evidence for indications, the counselling of affected women, performing terminations, the choice of method, and the care and monitoring of a terminated pregnancy up until week 12 + 0 of gestation p. c.

Methods In accordance with the requirements for S2k-guidelines, the contents of the guideline were drafted following a systematic search of the literature by a representative interdisciplinary group of experts. Guideline authors held several formal meetings under the auspices of the German Society for Gynaecology and Obstetrics (DGGG) during which the contents of the guideline were finalised and agreed upon.

Recommendations A total of 61 recommendations are provided, covering care structures, provision of information and counselling to support decision-making, the measures to be taken before terminating the pregnancy, and medical termination of the pregnancy.

Publication History

Received: 11 April 2023

Accepted: 14 April 2023

Article published online:
05 October 2023

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