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This Practice Bulletin was developed by the ACOG Committee on Practice Manual versus electric vacuum aspiration for early first-trimester abortion: a Doxycycline 200mg orally within 1 hour before procedure, American College of Obstetricians and Gynecologists (ACOG, 2018)She prefers an office procedure and is scheduled for this with a manual vacuum aspirator and paracervical block. Discussion questions. Discuss the treatment