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
Midlevel providers: Safety and effectiveness
Gestational dating
Screening for ectopic pregnancy
Vacuum aspiration
Safety and effectiveness
Cervical preparation
Bimanual examination
Examining products of conception
Processing Ipas MVA Plus® and Ipas Single-Valve aspirators
Medical Abortion
Safety and effectiveness
Risk of fetal malformations
Mifepristone and misoprostol: Recommended regimen
Misoprostol only: Recommended regimen
Home use of medications up to 11 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
Safety and effectiveness
Mifepristone and misoprostol: Recommended regimen
Misoprostol only: Recommended regimen
Presence of uterine scar: Recommended regimen
Postabortion care
Recommended medication regimen for treatment of incomplete and missed abortion for less than 13 weeks uterine size
Recommended medication regimen for treatment of incomplete and missed abortion 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
Additional Resources
Appendix: Pain Medication Table
Appendix: Continuum of depth of sedation: Definition of general anesthesia and levels of sedation/analgesia
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Clinical Updates in Reproductive Health
Clinical Updates in Reproductive Health
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Recommendations for abortion before 13 weeks gestation
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Vacuum aspiration
Vacuum aspiration
Safety and effectiveness
Cervical preparation
Bimanual examination
Examining products of conception
Processing Ipas MVA Plus® and Ipas Single-Valve aspirators
