Abortion-related emergency department visits:Analysis of a national emergency department sample

Upadhyay, UD; Johns, NE; Barron, Rebecca; Cartwright, A. G.; Mierjeski, Alyssa; Tapé, Chantal; McGregor, AJ

doi:10.1016/j.contraception.2018.03.018

Cited by 1 publication

(3 citation statements)

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“…2,33,35 Although blood transfusion is rare, approximately 5% of women who present to the ED for an abortion-related complication will receive one, emphasizing the inherent increased risk of complications of those presenting to the ED. 1 The differential diagnosis when a woman presents with heavy vaginal bleeding after an abortion includes uterine atony, cervical laceration, retained products of conception, uterine perforation, and coagulopathies. 29 Less common causes include acquired uterine arteriovenous malformations, uterine artery pseudoaneurysms, abnormal placentation, and undiagnosed ectopic pregnancy.…”

Section: Hemorrhagementioning

confidence: 99%

“…77 A retrospective observational study of nationwide ED visits between 2009 and 2013 estimated that 1.4% of all abortion-related ED visits were potentially due to self-managed abortion, with an increased incidence in the southern United States compared with the rest of the country. 1 Common methods used to attempt a self-managed abortion comprise oral medications, including misoprostol; vaginal douches or preparations; cervical dilation; uterine instrumentation; and abdominal trauma. 79,80 The leading causes of death worldwide after unsafe abortions are hemorrhage, infection, and poisoning.…”

Section: Self-managed Abortionsmentioning

confidence: 99%

“…Induced abortion is one of the safest outpatient medical procedures performed, with major complication rates between 0.11% and 0.16% and mortality rates of 0.62 per 100,000 in the United States. [1][2][3] Despite the low complication rate, a number of women seek emergency department (ED) care after an abortion, with approximately 14 of every 100,000 ED visits among women aged 15 to 49 years for a chief complaint related to induced abortion. 1 Although many patients who present to the ED after an induced abortion need no acute intervention, these visits may be stressful to ED physicians, who infrequently encounter rare, life-threatening, postabortion complications.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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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