“Medical” and “surgical” abortion: rethinking the modifiers

Weitz, Tracy A.; Foster, Angel M.; Ellertson, Charlotte; Grossman, Daniel; Stewart, Felicia H.

doi:10.1016/j.contraception.2003.08.017

Cited by 34 publications

(13 citation statements)

References 3 publications

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“…Medication and some aspiration abortion methods are seemingly well suited to the family medicine setting and make the provision of early abortion services (less than 9 weeks' gestation for medication abortion and 12 weeks or less for manual vacuum aspiration) a realistic possibility for family physicians. [6][7][8][9] These factors have led to initiatives to bring fi rst-trimester abortion training into family medicine settings. [10][11][12][13][14][15] There has been little research assessing early abortion outcomes in family medicine, and studies have been of inadequate size to measure dif-ferences in outcomes from specialized abortion sites.…”

Section: Introductionmentioning

confidence: 99%

Early Abortion in Family Medicine: Clinical Outcomes

Bennett¹,

Baylson²,

Kalkstein³

et al. 2009

The Annals of Family Medicine

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PURPOSE Clinical innovations have made it more feasible to incorporate early abortion into family medicine, yet the outcomes of early abortion procedures in this setting have not been well studied. We wished to assess the outcomes of fi rsttrimester medication and aspiration abortion procedures by family physicians. METHODS RESULTSThe rate of successful uncomplicated procedures for medication was 96.5% (95% confi dence interval [CI], 95.5%-97.0%) and for aspiration was 99.9% (CI, 99.3%-1). Adverse events and complications of medication abortions were failed procedure (ongoing pregnancy; n = 19, 1.45%); incomplete abortion (n = 16, 1.22%); hemorrhage (n = 9, 0.69%); and patient request for aspiration (n = 1, 0.08%). One (0.08%) missed ectopic pregnancy was seen among patients receiving medication. Four types of adverse outcomes were encountered with aspiration: incomplete abortion requiring re-aspiration (n = 21, 1.83%); hemorrhage during the procedure (n = 4, 0.35%); missed ectopic pregnancy (n = 3, 0.26%); and minor endometritis (n = 1, 0.09%). Missed ectopic pregnancies were successfully treated in the inpatient setting without mortality (overall hospitalization rate of 0.16 of 100). All other complications were managed within outpatient family medicine sites. Rates of complication did not vary by experience of physician or by site of care (residency vs private practice). CONCLUSIONSComplications of medication and aspiration procedures occurred at a low rate, and most were minor and managed without incident.

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Section: Introductionmentioning

confidence: 99%

Early Abortion in Family Medicine: Clinical Outcomes

Bennett¹,

Baylson²,

Kalkstein³

et al. 2009

The Annals of Family Medicine

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“…More suitable terms are "procedural," "aspiration," or "suction" abortion, which better represent what is involved. 2 Abortion during the first trimester is more accurately compared with endometrial biopsy or intrauterine device insertion than surgery. For many years, procedural abortion was accomplished using electric vacuum aspiration (EVA), which creates continuous suction using an electric-powered machine.…”

mentioning

confidence: 99%

First Trimester Procedural Abortion in Family Medicine

Lyus

Gianutsos

Gold

2009

The Journal of the American Board of Family Medicine

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“…Alternatively, abortion can be provoked by the administration of medication. A combination of the drugs mifepristone and misoprostol is the most common regimen used for early abortions in the US [42]. These medications interrupt pregnancy development and stimulate its expulsion from the uterus.…”

Section: Are There Different Abortion Methods and Providers?mentioning

confidence: 99%

“…Regardless of the terminology, procedural abortion involves the removal of pregnancy and supporting endometrial tissue from the uterus via electric or manual vacuum aspiration [42]. In gestations of greater than 14-15 weeks, the procedure typically requires the use of additional instrumentation, a method referred to as "dilation and evacuation" (or D & E).…”

Section: Are There Different Abortion Methods and Providers?mentioning

confidence: 99%

Unintended pregnancy: a framework for prevention and options for midlife women in the US

Johnson-Mallard

Kostas-Polston

Woods

et al. 2017

womens midlife health

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Recently unintended pregnancies have been described as "a new kind of mid-life crisis." Given the high prevalence of unwanted or mistimed pregnancy in the US, we examined the sexual and reproductive health patterns of sexually active midlife women. An examination of the prevalence of unintended pregnancy among midlife women revealed a gap in data indicating unmet sexual and reproductive health needs of midlife women. The application of a framework for primary, secondary and tertiary prevention for unintended pregnancy may assist with guiding care for women and identifying implications for reproductive health policy and potential political interference as they relate to sexual and reproductive health in midlife women.

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“Medical” and “surgical” abortion: rethinking the modifiers

Cited by 34 publications

References 3 publications

Early Abortion in Family Medicine: Clinical Outcomes

Early Abortion in Family Medicine: Clinical Outcomes

First Trimester Procedural Abortion in Family Medicine

Unintended pregnancy: a framework for prevention and options for midlife women in the US

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