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Pain Medication Table

Feb 1, 2021

The medications listed in the table below are commonly used for pain management during vacuum aspiration and dilatation and evacuation. Many other options exist. This table does not cover general anesthetic agents. Both anxiolytics and narcotics may cause respiratory...

Managing uterine perforation

Jan 31, 2021

Last reviewed: September 28, 2022 Recommendation: Any woman with suspected uterine perforation, even if asymptomatic, should be informed of the complication and her clinical status should be observed. If stable, women should be told warning signs for when to seek...

Postabortion hemorrhage: Prevention and management

Jan 31, 2021

Last reviewed: September 28, 2022 Recommendation: Clinicians should consider measures to prevent or prepare for increased bleeding in individuals who are at high risk for hemorrhage and are undergoing abortion. Hemorrhage caused by atony may be treated with uterine...

Postabortion IUD use: Safety and timing

Jan 31, 2021

Last reviewed: October 7, 2022 Recommendation: When an individual chooses an intrauterine contraceptive device (IUD), it should be placed immediately following a successful, uncomplicated vacuum aspiration or dilatation and evacuation (D&E) abortion. When an...

Postabortion contraception: When and what type

Jan 31, 2021

Last reviewed: November 1, 2022 Recommendation: Following vacuum aspiration or dilatation and evacuation (D&E), hormonal and non-hormonal contraception, including intrauterine device (IUD) placement and female sterilization, may be initiated immediately. Hormonal...

Postabortion care

Jan 31, 2021

Treatment of incomplete and missed abortion for less than 13 weeks uterine size Treatment of incomplete abortion and intrauterine fetal demise for 13 weeks or larger uterine size Postabortion contraception: When and what type Postabortion IUD use: Safety and timing...

Presence of uterine scar: Recommended regimen

Jan 31, 2021

Last reviewed: September 29, 2022 Recommendation: Less than 22-24 weeks gestation with one uterine scar: No changes to recommended regimens necessary. More than 22-24 weeks gestation with one uterine scar or 13-24 weeks gestation with more than one uterine scar:...