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We work with partners around the world to advance reproductive justice by expanding access to abortion and contraception.

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Sustainable Abortion Ecosystem

Resist and Persist: How Ipas will meet the changing global health landscape

Our Work

The global movement for legal, accessible abortion is growing. Our staff and partners in countries as diverse as Bolivia, Malawi and India are working to ensure all people can access high-quality abortion care.

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Abortion at or After 13 Weeks

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Where We Work

The global movement for legal, accessible abortion is growing. Our staff and partners in countries as diverse as Bolivia, Malawi and India are working to ensure all people can access high-quality abortion care.

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AFRICA

Benin

Burkina Faso​

Cameroon​

Cote d’Ivoire​

Democratic Republic of Congo

Ethiopia​

Guinea​

Kenya​

Madagascar​

Malawi​

Mali​

Mozambique

Nigeria​

South Africa

Togo​

Uganda​

Zambia

ASIA

Bangladesh​

India​

Indonesia​

Nepal​

Pakistan​

 

THE AMERICAS

Argentina

Bolivia

Chile

Costa Rica

El Salvador​

Guatemala​

Honduras​

Mexico

Nicaragua​

United States

 

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Our materials are designed to help reproductive health advocates and professionals expand access to high-quality abortion care.

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Wear your support for abortion access!

T-shirt with "Resist & Persist" in bold black letters. Features illustrations of three women with different hairstyles facing right, surrounded by stars. The word "Ipas" is in red below the design.
  • Introduction
  • Our Team
  • How we make clinical recommendations
  • General Recommendations
    • Summary of recommended medical abortion regimens
    • Uterine evacuation: Replace sharp curettage with aspiration or medications
    • Prophylactic antibiotics for vacuum aspiration and dilatation and evacuation
    • Prophylactic antibiotics for medical abortion
    • Medical abortion contraindications and precautions
    • Misoprostol product quality
  • Pain Management
    • Pain management for medical abortion before 13 weeks gestation
    • Pain management for medical abortion at or after 13 weeks gestation
    • Pain management for vacuum aspiration
    • Pain management for dilatation and evacuation
    • Paracervical block
  • Recommendations for abortion before 13 weeks gestation
    • Adolescents: Safety and effectiveness
    • Gestational dating
    • Screening for ectopic pregnancy
    • Vacuum aspiration
      • Safety and effectiveness
      • Self-Management
      • Cervical preparation
      • Bimanual examination
      • Examining products of conception
      • Processing Ipas MVA Plus® and Ipas Single-Valve aspirators
    • Medical Abortion
      • Self-Management
      • Risk of fetal malformations
      • Mifepristone and misoprostol: Recommended regimen
      • Misoprostol only: Recommended regimen
      • Home use of medications up to 12 weeks gestation
      • Confirmation of success
      • Ultrasound findings at follow-up
  • Recommendations for abortion at or after 13 weeks gestation
    • Who has abortions at 13 weeks or later?
    • Comparing methods
    • Gestational dating
    • Induced fetal demise
    • Follow-up
    • Dilatation and evacuation: Cervical Preparation
    • Medical Abortion
      • Mifepristone and misoprostol: Recommended regimen
      • Misoprostol only: Recommended regimen
      • Presence of uterine scar: Recommended regimen
  • Postabortion care
    • Treatment of incomplete and missed abortion for less than 13 weeks uterine size
    • Treatment of incomplete and intrauterine fetal demise for 13 weeks or larger uterine size
    • Postabortion contraception: When and what type
    • Postabortion IUD use: Safety and timing
    • Postabortion hemorrhage: Prevention and management
    • Managing uterine perforation
  • Appendix: Pain Medication Table
  • Appendix: Continuum of depth of sedation: Definition of general anesthesia and levels of sedation/analgesia
  • Appendix: World Health Organization recommendations for health worker roles in abortion care
  • Additional Resources
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Clinical Updates in Reproductive Health

Clinical Updates in Reproductive Health > English > Recommendations for abortion before 13 weeks gestation > Vacuum aspiration

Vacuum aspiration

  • Safety and effectiveness
  • Cervical preparation
  • Bimanual examination
  • Examining products of conception
  • Processing Ipas MVA Plus® and Ipas Single-Valve aspirators
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