Clinical Updates in Reproductive Health

Follow-up

Last reviewed: September 24, 2022

Recommendation:

  • Routine follow-up care is not necessary unless desired by the individual or necessary for her chosen contraceptive method.
  • At the time of the abortion, clients should receive adequate information regarding postabortion care and warning signs.

Strength of recommendation: Weak

Quality of evidence: Very low

Follow-up

There is no scientific data to demonstrate that routine follow-up is beneficial after uncomplicated abortion at or after 13 weeks. In addition, there is no evidence to suggest that a pelvic examination is beneficial in an asymptomatic person that does return for a routine follow-up visit. Those undergoing abortion at or after 13 weeks should be adequately informed about medical reasons to return for follow-up, and should receive appropriate supplies and information to meet contraceptive needs.

Quality of evidence

Very low. The recommendation is based on expert opinion ((Royal College of Obstetricians and Gynaecologists, 2022; World Health Organization [WHO], 2022).

References

Royal College of Obstetricians and Gynaecologists. (2022). Best practice in abortion care. London: Royal College of Obstetricians and Gynaecologists.

World Health Organization. (2022). Abortion Care Guideline. Geneva: World Health Organization.