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Chapter 40 - Post-abortion Care

from Section 2B - Sexual and Reproductive Healthcare: Termination of Pregnancy

Published online by Cambridge University Press:  16 January 2024

Johannes Bitzer
Affiliation:
University Women's Hospital, Basel
Tahir A. Mahmood
Affiliation:
Victoria Hospital, Kirkcaldy
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Summary

The aftercare provided to a patient following an abortion, or a termination of pregnancy, can improve the safety and the patient’s experience. The content and amount of aftercare required will depend on the patient’s circumstances, method of abortion and whether it was safe or unsafe [1]. Here we aim to discuss the basic principles of abortion aftercare such as what and how to provide information to patients. We go on to discuss reduction of complications and how to manage those that do arise. Furthermore, the importance of contraception within post-abortion care mustn’t be neglected as it reduces future unwanted pregnancies and therefore abortions.

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Publisher: Cambridge University Press
Print publication year: 2024

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References

World Health Organization. Safe abortion: Technical and policy guidance for health systems. 2nd edition. Geneva: World Health Organization, 2012.Google Scholar
National Institute for Health and Care Excellence. Abortion care. London: National Institute for Health and Care Excellence, 2019.Google Scholar
World Health Organization. Preventing unsafe abortion. September 2020. http://bit.ly/3HjI4uQ.Google Scholar
World Health Organization.Abortion in Europe. Entre Nous: The European Magazine for Sexual and Reproductive Health. 2005;59–72.Google Scholar
World Health Organization. Unsafe abortion incidence and mortality: Global and regional levels in 2008 and trends during 1990–2008. Geneva: World Health Organization, 2012.Google Scholar
Themmerman, M. Missed opportunities in women’s health: Post-abortion care. Lancet Global Health. 2019;7(1):e12e13.CrossRefGoogle Scholar
World Health Organization. Clinical practice handbook for safe abortion. Geneva: World Health Organization, 2014.Google Scholar
Tidy, J, Seckl, M, Hancock, BW. Management of gestational trophoblastic disease. Green-Top Guideline No. 38. BJOG. 2021;128(3):e1e27.Google Scholar
Yassin, AS, Cordwell, D. Does dedicated pre-abortion contraception counselling help to improve post-abortion contraception uptake? J Fam Plann Reprod Health Care. 2005;31(2):115–16.CrossRefGoogle ScholarPubMed
Royal College of Obstetricians and Gynaecologists. Best practice in comprehensive abortion care. Best practice paper No. 2. June 2015.Google Scholar
Gambir, K, Kim, C, Necastro, KA, Ganatra, B, Ngo, TD. Self-administered versus provider-administered medical abortion (review). Cochrane Database of Systematic Reviews. 2020;3(3):CD013181.Google Scholar
Royal College of Obstetricians and Gynaecologists. The care of women requesting induced abortion. Evidence-Based Clinical Guideline Number 7. November 2011.Google Scholar
Bernard, N, Elefant, E, Carlier, P, et al. Continuation of pregnancy after first-trimester exposure to mifepristone: An observational prospective study. BJOG. 2013;120:568–75.CrossRefGoogle ScholarPubMed
Scott, A, Glasier, A. Failed medical and surgical termination of pregnancy. Obstetrician and Gynaecologist. 2002;4:217–21.CrossRefGoogle Scholar
Low, N, Mueller, M, Van Vliet, HAAM, Kapp, N. Perioperative antibiotics to prevent infection after first-trimester abortion (review). Cochrane Database of Systematic Reviews. 2012;3.Google Scholar
Kerns, J, Steinauer, J. Management of post abortion hemorrhage. Society of Family Planning. Contraception. 2013;87:331–42.Google Scholar
Royal College of Obstetricians and Gynaecologists. Surgical management of miscarriage and removal of persistent placental or fetal remains. Consent Advice No. 10 (Joint with AEPU) January 2018.Google Scholar
National Institute for Health and Care Excellence. Abortion care: Follow-up after medical abortion up to 10+0 weeks. NICE guideline NG140, Evidence reviews. September 2019.Google Scholar
Mahmood, T, Benefetto, C. European Board and College of Obstetrics and Gynaecology position paper: EBCOG call for action for the prevention of unintended pregnancies. 2015.Google Scholar
Oppegaard, KS. European Board and College of Obstetrics and Gynaecology. EBCOG position paper on medical abortion. 2015.Google Scholar
Liu, N, Vigod, SN, Farrugia, MM, Urquia, ML, Ray, JG. Venous thromboembolism after induced abortion: A population-based, propensity-score-matched cohort study in Canada. Lancet Haematol. 2018;5(7):e279e288.CrossRefGoogle ScholarPubMed
Carlsson, I, Breding, K, Larsson, PG. Complications related to induced abortion: A combined retrospective and longitudinal follow-up study. BMC Women’s Health. 2018;18:158.CrossRefGoogle ScholarPubMed

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