Standardizing the classification of abortion incidents: the Procedural Abortion Incident Reporting and Surveillance (PAIRS) Framework

Taylor, Diana; Upadhyay, Ushma D.; Fjerstad, Mary; Battistelli, Molly F.; Weitz, Tracy A.; Paul, Maureen

doi:10.1016/j.contraception.2017.05.004

Cited by 19 publications

(30 citation statements)

References 68 publications

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“…We used the term transfer only in cases in which the patient was directly transferred from the abortion facility to a hospital by ambulance. In accordance with the PAIRS Framework—a framework for categorizing abortion‐related adverse events and morbidities—immediate incidents were defined as occurring at the initial abortion appointment, during the procedure, or while the patient was recovering in the facility. Delayed incidents were defined as occurring after the patient left the facility and up to 4 weeks after the procedure.…”

Section: Methodsmentioning

confidence: 99%

Admitting privileges and hospital‐based care after presenting for abortion: A retrospective case series

Upadhyay

Cartwright

Goyal

et al. 2018

Health Services Research

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Objective To examine the pathways of care for abortion patients transferred or referred to emergency departments (EDs) or hospitals before and after abortion‐providing physicians obtained hospital admitting privileges. Data Sources This case series was based on retrospective chart review at three abortion clinics in which physicians had obtained admitting privileges in the previous 5 years. Study Design We identified patients who were transferred or referred to a hospital or ED. Patients were grouped according to the pathway by which their care was transferred or referred to the ED/hospital. Principal Findings Both before and after admitting privileges, the majority of patients were referred to a hospital before the abortion was attempted and most were for suspected ectopic pregnancy or to perform the abortion in a hospital. Direct ambulance transfer from the facility to the ED/hospital was the least common pathway. We observed few changes in practice from before to after admitting privileges. Preexisting mechanisms of coordination and communication facilitated care that was tailored for the specific patient. Conclusions We did not find evidence that physician admitting privileges influenced the pathways through which abortion patients obtain hospital‐based care, as existing mechanisms of collaboration between hospitals and abortion facilities allowed for management of patients who sought hospital‐based care.

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Section: Methodsmentioning

confidence: 99%

Admitting privileges and hospital‐based care after presenting for abortion: A retrospective case series

Upadhyay

Cartwright

Goyal

et al. 2018

Health Services Research

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“…Moreover, in addition to deterring investigators from studying abortion through limiting federal funding for the research, in vitro fertilization (IVF) research and research on human embryonic stem cell lines has also been limited by policies affecting what the National Institutes of Health is empowered to fund. Consequences of these policies has been limitation of access for women and families to knowledge that would inform a wide range of reproductive health issues spanning a range from establishing a pregnancy to ending one [39,61]. Harris has pointed out the threat to reproductive justice that has been imposed by limiting research on topics such as IVF to private funding sources and the consequent access to IVF to a subset of women with financial resources to obtain IVF services and thus contribute to IVF research efforts.…”

Section: Tertiary Prevention Of Unintended Pregnancymentioning

confidence: 99%

“…While a table demonstrating the specific demographics among midlife women who experience unintended pregnancy and undergo abortion would likely be very illuminating, such data are not readily available [39]. Data on unintended pregnancies and abortion are published in the aggregate.…”

Section: What Is Abortion Counseling?mentioning

confidence: 99%

“…Moreover, there is an urgent need to protect the patient-provider relationship, insuring that health care professionals are not limited in providing the care to midlife women that they need and desire. Research and policy that recognizes the importance of all aspects of women's reproductive health-including pregnancy prevention, abortion care, pregnancy services, and economic supports-are essential to meeting the sexual and reproductive health care needs of low-SES women and women of color [39].…”

Section: Tertiary Prevention Of Unintended Pregnancymentioning

confidence: 99%

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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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“…Although the authors of the linked study 1 cited the standard for reporting abortion complications, Procedural Abortion Inci dent Reporting and Surveillance Framework, 8 the study's out comes were not defined using this approach. This framework "distinguishes incidents resulting from procedural abortion care (adverse events) from morbidity related to pregnancy, the abortion…”

mentioning

confidence: 99%

Abortion services in Canada: access and safety

Schummers

Norman

2019

CMAJ

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Standardizing the classification of abortion incidents: the Procedural Abortion Incident Reporting and Surveillance (PAIRS) Framework

Cited by 19 publications

References 68 publications

Admitting privileges and hospital‐based care after presenting for abortion: A retrospective case series

Admitting privileges and hospital‐based care after presenting for abortion: A retrospective case series

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

Abortion services in Canada: access and safety

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