A highly sensitive flow cytometry protocol shows fetal red blood cell counts in first-trimester maternal circulation well below the threshold for Rh sensitization

Horvath, Sebastian D; Prak, ET Luning; Schreiber, C.A.

doi:10.1016/j.contraception.2018.07.011

Cited by 7 publications

(2 citation statements)

References 0 publications

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“…Evolving evidence shows that the risk of developing Rh alloimmunization at the time of first-trimester abortion is exceptionally rare. 12,13 The WHO, NAF, and Society for Family Planning (SFP) do not recommend routine testing of Rh type before 12 weeks gestation. 9,10,14,15 Conversely, ACOG recommends routine Rh testing and administration of Rh alloimmunization prophylaxis.…”

Section: Rh Typingmentioning

confidence: 99%

First-trimester Procedural Abortion

McLaren,

Hennessey

2023

Clinical Obstetrics &Amp; Gynecology

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First-trimester abortion is a common and safe procedure. A focused history and physical examination are essential for providing this care. Laboratory assessment can include Rh typing, hemoglobin, and cervicitis testing as indicated by a patient’s risk factors. Procedural abortion in the first trimester includes cervical dilation with or without cervical preparation, and uterine evacuation utilizing a manual vacuum aspirator or electric vacuum aspirator. Complications occur rarely and are often easily managed at the time of diagnosis.

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Section: Rh Typingmentioning

confidence: 99%

First-trimester Procedural Abortion

McLaren,

Hennessey

2023

Clinical Obstetrics &Amp; Gynecology

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“…17 Patients receiving a medical or surgical abortion should be offered Rh status testing and receive Rh immunoglobulin if found to be Rh negative, although there is emerging evidence that patients at 8 weeks' gestation and earlier do not need Rh immunoglobulin. 11,18,19 If patients have an intrauterine device in place, it must be removed before initiation of medical abortion. 11 There is currently insufficient evidence to recommend routine prophylactic antibiotics for medical abortions, and current practices vary, with some clinics opting to provide prophylactic antibiotics.…”

Section: Definitions Medical Abortionmentioning

confidence: 99%

Management of Postabortion Complications for the Emergency Medicine Clinician

Orlowski

Soares

Kerrigan

et al. 2021

Annals of Emergency Medicine

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Although induced abortion is generally a safe outpatient procedure, many patients subsequently present to the emergency department, concerned about a postabortion complication. It is helpful for emergency physicians to understand the medications and procedures used in abortion care in the United States to effectively and efficiently triage and treat women presenting with potential complications from an abortion. Furthermore, because many states are experiencing increased abortion restrictions that limit access to care, emergency medicine physicians may encounter more patients presenting after self-managed abortions, which presents additional challenges. This article reviews the epidemiology and background of abortion care, including the range of symptoms and adverse effects that are within the scope of an uncomplicated procedure. This review also offers a comprehensive overview of management of abortion complications, including algorithms for more common complications and descriptions of less common but more severe adverse events. The article concludes with a recognition of the social stigma and legal regulations unique to abortion care. [

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