Second-trimester surgical abortion practices in the United States.

  title={Second-trimester surgical abortion practices in the United States.},
  author={Katharine O White and Heidi E. Jones and Jade M. Shorter and Wendy V. Norman and {\'E}dith Guilbert and E. Steve Lichtenberg and Maureen E. Paul},

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High rates of HAIs after surgical abortion are revealed and most causing pathogens were associated with resistant to antibiotic strains, which is essential to develop targeted strategies to surveillance and reduce the incidence of post-abortion infections.

Abortion Care Beyond 13 Weeks’ Gestation: A Global Perspective

This review focuses on evidence-based practices for induced abortion beyond 13 weeks’ gestation and post-abortion care in both high- and low-resource settings and highlights key programmatic issues to consider when expanding the gestational age for abortion services.

Society of Family Planning clinical recommendations: Cervical preparation for dilation and evacuation at 20–24 weeksâ€TM gestation

The use of adjunctive mifepristone administered one-day pre-operatively at the time of osmotic dilator placement, should be considered because evidence demonstrates that it makes D&E subjectively easier at 20–24 weeks without increasing side effects.



First trimester medication abortion practice in the United States and Canada

In conclusion, medication abortion practice follows evidence-based guidelines in the US and Canada, and efforts to update practice based on the latest evidence for reducing in-person visits and increasing provision by advanced practice clinicians could strengthen these services and reduce barriers to access.

Safety of Outpatient Surgical Abortion for Obese Patients in the First and Second Trimesters

Obesity does not appear to be an independent predictor for abortion complications and should not be used in isolation to refer women to hospital-based facilities for abortion care in the first or second trimester.

Practice Bulletin No. 135: Second-Trimester Abortion

  • Medicine
    Obstetrics and gynecology
  • 2013
Some obstetric and medical indications for second-trimester termination include preeclampsia and preterm premature rupture of membranes, among other conditions, and additional indications for uterine evacuation in the second trimester are pregnancy failure before 20 weeks of gestation and fetal demise.

Obesity as a Risk Factor for Complications After Second-Trimester Abortion by Dilation and Evacuation

There was no association between BMI and D&E complications and obesity may not warrant referral to a high-risk abortion center, particularly because referral-associated delay might increase the risk of complications.

Barriers to Rural Induced Abortion Services in Canada: Findings of the British Columbia Abortion Providers Survey (BCAPS)

Assessment of distribution, practice, and experiences among rural compared to urban abortion providers in the Canadian province of British Columbia found moving rural surgical abortions out of operating rooms and into local ambulatory care settings has the potential to improve care and costs, while reducing logistical challenges facing rural physicians.

Abortion Incidence and Service Availability In the United States, 2014

Most states that experienced the largest proportionate declines in the number of clinics providing abortions had enacted one or more new restrictions during the study period, but reductions were not always associated with declines in abortion incidence.